Jacqueline E Wunderlich, MD is a medicare enrolled "Anesthesiology" physician in Shelby, Ohio. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Ohiohealth Corporation and her current practice location is
199 W. Main Street, Shelby, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 342-5015.
Jacqueline E Wunderlich is licensed to practice in Ohio (license number 35.120343) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437384708.
Physician's Profile
Full Name | Jacqueline E Wunderlich |
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Gender | Female |
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Speciality | Anesthesiology |
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Experience | 29 Years |
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Location | 199 W. Main Street, Shelby, Ohio |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jacqueline E Wunderlich graduated from medical school in 1995
NPI Data:
- NPI Number: 1437384708
- Provider Enumeration Date: 05/15/2009
- Last Update Date: 06/14/2013
Medicare PECOS Information:
- PECOS PAC ID: 5294976486
- Enrollment ID: I20130731000326
Medical Identifiers
Medical identifiers for Jacqueline E Wunderlich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437384708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 35.120343 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Ohiohealth Corporation | 6305758426 | 1940 |
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. Jacqueline E Wunderlich allows following entities to bill medicare on her behalf.
Entity Name | Ohiohealth Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
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Entity Name | Ohiohealth Regional Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538552468 PECOS PAC ID: 9739496902 Enrollment ID: O20150921001772 |
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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. Jacqueline E Wunderlich 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 |
Jacqueline E Wunderlich, MD 335 Glessner Ave, Mansfield, OH 44903-2269 Ph: (419) 526-8000 | Jacqueline E Wunderlich, MD 199 W. Main Street, Shelby, OH 44875-0000 Ph: (419) 342-5015 |
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