Jacqueline Nguyen, is a medicare enrolled "Optometrist" physician in Ann Arbor, Michigan. Her current practice location is
1500 E Medical Center Dr, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 936-4000.
Jacqueline Nguyen is licensed to practice in Michigan (license number 4901005634) 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 1861073942.
Physician's Profile
Full Name | Jacqueline Nguyen |
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Gender | Female |
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Speciality | Optometrist |
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Location | 1500 E Medical Center Dr, Ann Arbor, 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: 1861073942
- Provider Enumeration Date: 04/19/2021
- Last Update Date: 09/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 9234533571
- Enrollment ID: I20210809000730
Medical Identifiers
Medical identifiers for Jacqueline Nguyen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861073942 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 3684 (Tennessee) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
152W00000X | Optometrist | 4901005634 (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. Jacqueline Nguyen 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 Nguyen, 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Jacqueline Nguyen, 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 Ph: (734) 936-4000 |
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