Jacquelyn Renee Showalter, CNP is a medicare enrolled "Nurse Practitioner - Family" physician in Conneaut, Ohio. Her current practice location is
354 W Main Rd, Conneaut, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 599-2262.
Jacquelyn Renee Showalter is licensed to practice in Ohio (license number APRN.CNP.0031978) 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 1639884000.
Physician's Profile
Full Name | Jacquelyn Renee Showalter |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Family |
---|
Location | 354 W Main Rd, Conneaut, Ohio |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639884000
- Provider Enumeration Date: 01/19/2023
- Last Update Date: 02/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 6709259997
- Enrollment ID: I20230309001554
Medical Identifiers
Medical identifiers for Jacquelyn Renee Showalter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639884000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | CNP.0031978 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.0031978 (Ohio) | Primary |
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. Jacquelyn Renee Showalter allows following entities to bill medicare on her behalf.
Entity Name | Ashtabula County Medical Center |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1942247143 PECOS PAC ID: 2668465600 Enrollment ID: O20040406000897 |
---|
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. Jacquelyn Renee Showalter 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 |
Jacquelyn Renee Showalter, CNP 354 W Main Rd, Conneaut, OH 44030-2043 Ph: (440) 599-2262 | Jacquelyn Renee Showalter, CNP 354 W Main Rd, Conneaut, OH 44030-2043 Ph: (440) 599-2262 |
Reviews and Comments