Jaclyn Notarberardino, PA is a medicare enrolled "Physician Assistant" physician in Rochester, Michigan. Her current practice location is
1135 W University Dr Ste 450, Rochester, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 650-1871.
Jaclyn Notarberardino is licensed to practice in Michigan (license number 5601011240) 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 1396318515.
Physician's Profile
Full Name | Jaclyn Notarberardino |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1135 W University Dr Ste 450, Rochester, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396318515
- Provider Enumeration Date: 07/24/2021
- Last Update Date: 12/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648640243
- Enrollment ID: I20221222001493
Medical Identifiers
Medical identifiers for Jaclyn Notarberardino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396318515 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 50.007801 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | 5601011240 (Michigan) | Primary |
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 Notarberardino 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 Address | Practice Location Address |
Jaclyn Notarberardino, PA 18901 Lake Shore Blvd, Euclid, OH 44119-1078 Ph: () - | Jaclyn Notarberardino, PA 1135 W University Dr Ste 450, Rochester, MI 48307-1871 Ph: (248) 650-1871 |
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