Jacqueline Hines-kruse, PA-C is a medicare enrolled "Physician Assistant" physician in Ritzville, Washington. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Deer Park Family Care Clinic Ps and her current practice location is
210 W Main Ave, Ritzville, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 659-4800.
Jacqueline Hines-kruse is licensed to practice in * (Not Available) (license number ) 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 1316565708.
Physician's Profile
| Full Name | Jacqueline Hines-kruse |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 4 Years |
|---|
| Location | 210 W Main Ave, Ritzville, Washington |
|---|
| 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 Hines-kruse graduated from medical school in 2020
NPI Data:
- NPI Number: 1316565708
- Provider Enumeration Date: 07/11/2020
- Last Update Date: 08/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315353810
- Enrollment ID: I20210331002257
Medical Identifiers
Medical identifiers for Jacqueline Hines-kruse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316565708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | PA61096605 (Washington) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Deer Park Family Care Clinic Ps | 1759271836 | 9 |
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 Hines-kruse 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 Hines-kruse, PA-C
1506 W Highline Ln,
Spokane, WA 99201-1911
Ph: (623) 308-4704 | Jacqueline Hines-kruse, PA-C
210 W Main Ave,
Ritzville, WA 99169-1410
Ph: (509) 659-4800 |
Reviews and Comments