Mrs Jacqueline Joy Gagen, CNM, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Sayre, Pennsylvania. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Guthrie Medical Group Pc and her current practice location is
1 Guthrie Sq, Sayre, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 888-5858.
Mrs Jacqueline Joy Gagen is licensed to practice in New York (license number 343016) 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 1811964281.
Physician's Profile
Full Name | Mrs Jacqueline Joy Gagen |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 15 Years |
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Location | 1 Guthrie Sq, Sayre, Pennsylvania |
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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. |
Medical Education and Training:
- Mrs Jacqueline Joy Gagen graduated from medical school in 2009
NPI Data:
- NPI Number: 1811964281
- Provider Enumeration Date: 03/03/2006
- Last Update Date: 03/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 4587979737
- Enrollment ID: I20180829002999
Medical Identifiers
Medical identifiers for Mrs Jacqueline Joy Gagen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811964281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 6153461 (New York) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | 6153461 (New York) | Secondary |
207VX0000X | Obstetrics & Gynecology - Obstetrics | 6153461 (New York) | Secondary |
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 360384 (New York) | Secondary |
367A00000X | Advanced Practice Midwife | F000501 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 343016 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Guthrie Medical Group Pc | 6002728656 | 637 |
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. Mrs Jacqueline Joy Gagen allows following entities to bill medicare on her behalf.
Entity Name | Guthrie Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
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Entity Name | Regional Medical Practice, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285749093 PECOS PAC ID: 9032115233 Enrollment ID: O20061011000421 |
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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. Mrs Jacqueline Joy Gagen 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 |
Mrs Jacqueline Joy Gagen, CNM, FNP 11 Alvena Ave, Suite 101, Ob/gyn Assoc. Of Cortland, Md, Pc, Cortland, NY 13045 Ph: (315) 446-3904 | Mrs Jacqueline Joy Gagen, CNM, FNP 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 |
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