Jaclyn Wetli, MD is a medicare enrolled "Dermatology" physician in Upper Arlington, Ohio. She went to Wright State University Boonshoft School Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Columbus Aesthetic And Plastic Surgery, Inc and her current practice location is
5005 Arlington Centre Blvd, Upper Arlington, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 246-6900.
Jaclyn Wetli is licensed to practice in Ohio (license number 35.142033) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1306378948.
Physician's Profile
| Full Name | Jaclyn Wetli |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 3 Years |
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| Location | 5005 Arlington Centre Blvd, Upper Arlington, Ohio |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jaclyn Wetli attended and graduated from Wright State University Boonshoft School Of Medicine in 2021
NPI Data:
- NPI Number: 1306378948
- Provider Enumeration Date: 04/02/2017
- Last Update Date: 11/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 0648548172
- Enrollment ID: I20210908002639
Medical Identifiers
Medical identifiers for Jaclyn Wetli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306378948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 35.142033 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Columbus Aesthetic And Plastic Surgery, Inc | 6103865837 | 5 |
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 Wetli allows following entities to bill medicare on her behalf.
| Entity Name | Columbus Aesthetic And Plastic Surgery, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699801555
PECOS PAC ID: 6103865837
Enrollment ID: O20050502000689 |
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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 Wetli 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 |
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Jaclyn Wetli, MD
5005 Arlington Centre Blvd,
Upper Arlington, OH 43220-2912
Ph: (614) 246-6900 | Jaclyn Wetli, MD
5005 Arlington Centre Blvd,
Upper Arlington, OH 43220-2912
Ph: (614) 246-6900 |
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