Jacquelynn Dorman, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Odessa, Texas. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Francisco J Salcido Md Pa and her current practice location is
4060 Medical Park Dr, Odessa, Texas. You can reach out to her office (for appointments etc.) via phone at
(432) 582-2882.
Jacquelynn Dorman is licensed to practice in Texas (license number AP140013) 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 1962068981.
Physician's Profile
| Full Name | Jacquelynn Dorman |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 4060 Medical Park Dr, Odessa, Texas |
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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. |
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Medical Education and Training:
- Jacquelynn Dorman graduated from medical school in 2018
NPI Data:
- NPI Number: 1962068981
- Provider Enumeration Date: 05/15/2019
- Last Update Date: 06/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 3173858321
- Enrollment ID: I20190711000418
Medical Identifiers
Medical identifiers for Jacquelynn Dorman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962068981 | NPI | - | NPPES |
| 3999732 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QA0505X | Family Medicine - Adult Medicine | AP140013 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP140013 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Francisco J Salcido Md Pa | 7618152281 | 7 |
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. Jacquelynn Dorman allows following entities to bill medicare on her behalf.
| Entity Name | Francisco J Salcido Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659679926
PECOS PAC ID: 7618152281
Enrollment ID: O20110425000590 |
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| Entity Name | Essential Family Practice Of West Texas Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871270124
PECOS PAC ID: 9638522055
Enrollment ID: O20240201000302 |
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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. Jacquelynn Dorman 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 |
|---|
Jacquelynn Dorman, FNP
418 Orourke St.,
Midland, TX 79706
Ph: (432) 978-3022 | Jacquelynn Dorman, FNP
4060 Medical Park Dr,
Odessa, TX 79765-2233
Ph: (432) 582-2882 |
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