Jaclyn Israel I, DO - Medicare Family Medicine in Norridgewock, ME

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Jaclyn Israel I, DO is a medicare enrolled "Family Medicine" physician in Norridgewock, Maine. Her current practice location is 87 Mercer Rd, Norridgewock, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 634-4366.

Jaclyn Israel I is licensed to practice in Maine (license number DO3457) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154904712.

Contact Information

Jaclyn Israel I, DO
87 Mercer Rd,
Norridgewock, ME 04957-3168
(207) 634-4366
Not Available

Map and Direction




Physician's Profile

Full NameJaclyn Israel I
GenderFemale
SpecialityFamily Medicine
Location87 Mercer Rd, Norridgewock, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154904712
  • Provider Enumeration Date: 05/03/2021
  • Last Update Date: 08/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9133521578
  • Enrollment ID: I20240918003132

Medical Identifiers

Medical identifiers for Jaclyn Israel I such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154904712NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO3457 (Maine)Primary
207Q00000XFamily Medicine 5101028269 (Michigan)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jaclyn Israel I allows following entities to bill medicare on her behalf.
Entity NameRedington-fairview General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174549133
PECOS PAC ID: 9133018740
Enrollment ID: O20040312000119
Entity NameCentral Maine Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689653487
PECOS PAC ID: 2567379563
Enrollment ID: O20040324000441
Entity NameRumford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205991122
PECOS PAC ID: 3870583511
Enrollment ID: O20040514000890
Entity NameRumford Community Family Health Center Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578599775
PECOS PAC ID: 1557340460
Enrollment ID: O20040715000176
Entity NameRedington-fairview General Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1174549133
PECOS PAC ID: 9133018740
Enrollment ID: O20051205000295

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaclyn Israel I is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jaclyn Israel I, DO
87 Mercer Rd,
Norridgewock, ME 04957-3168

Ph: (207) 634-4366		Jaclyn Israel I, DO
87 Mercer Rd,
Norridgewock, ME 04957-3168

Ph: (207) 634-4366

Reviews and Comments


Family Medicine Doctors in Norridgewock, ME

David Samuel Axelman, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 40 Parlin Dr, Norridgewock, ME 04957
Phone: 207-634-3451    
Julianne Barrett, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 87 Mercer Rd, Norridgewock, ME 04957
Phone: 207-634-4366    Fax: 207-634-4375
Emily Trask-eaton, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 87 Mercer Rd, Norridgewock, ME 04957
Phone: 207-634-4366    Fax: 207-634-4375

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.