Jemellee Perpetua Jacala-tadian, MD in Vicksburg, MI

Jemellee Perpetua Jacala-tadian, MD is a medicare enrolled "Family Medicine" physician in Vicksburg, Michigan. She went to Wayne State University School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Thunder Bay Community Health Service Inc and her current practice location is 13320 N Blvd, Vicksburg, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 649-2012.

Jemellee Perpetua Jacala-tadian is licensed to practice in Michigan (license number 4301088607) 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 1669681748.

Contact Information

	Jemellee Perpetua Jacala-tadian, MD
	13320 N Blvd, Vicksburg, MI 49097-1514
	(269) 649-2012
	Not Available

Map and Direction

Physician's Profile

Full Name	Jemellee Perpetua Jacala-tadian
Gender	Female
Speciality	Family Practice
Experience	18 Years
Location	13320 N Blvd, Vicksburg, Michigan
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:

Jemellee Perpetua Jacala-tadian attended and graduated from Wayne State University School Of Medicine in 2006

NPI Data:

NPI Number: 1669681748
Provider Enumeration Date: 05/22/2007
Last Update Date: 10/01/2024

Medicare PECOS Information:

PECOS PAC ID: 6204977580
Enrollment ID: I20100108000350

Medical Identifiers

Medical identifiers for Jemellee Perpetua Jacala-tadian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669681748	NPI	-	NPPES
1669681748	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301088607 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Midmichigan Home Care	Alpena, MI	Home health agency
Midmichigan Medical Center - Alpena	Alpena, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Thunder Bay Community Health Service Inc	0143296772	30

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. Jemellee Perpetua Jacala-tadian allows following entities to bill medicare on her behalf.

Entity Name	Thunder Bay Community Health Service Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629107552 PECOS PAC ID: 0143296772 Enrollment ID: O20040907000045

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. Jemellee Perpetua Jacala-tadian 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
Jemellee Perpetua Jacala-tadian, MD 601 John St, Kalamazoo, MI 49007-5341 Ph: () -	Jemellee Perpetua Jacala-tadian, MD 13320 N Blvd, Vicksburg, MI 49097-1514 Ph: (269) 649-2012

Reviews and Comments

Family Medicine Doctors in Vicksburg, MI

Dr. Karl Robert Kerchief, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13320 N Boulevard St, Vicksburg, MI 49097 Phone: 269-649-2012 Fax: 269-649-3752
Thomas A Howard, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13326 N Blvd, Vicksburg, MI 49097 Phone: 269-649-9136 Fax: 269-649-0507
Dr. David J Schriemer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13320 N Boulevard St, Vicksburg, MI 49097 Phone: 269-649-2012 Fax: 269-649-3752
Dr. Kenneth J Franklin, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 13320 N Boulevard St, Vicksburg, MI 49097 Phone: 269-649-2012 Fax: 269-649-3752
Evan Fitzgerald, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13320 North Blvd, Vicksburg, MI 49097 Phone: 269-649-2012

Jemellee Perpetua Jacala-tadian, MD - Medicare Family Practice in Vicksburg, MI