Rachel Andrea Jones-tackett, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Middlesboro, Kentucky. Her current practice location is
3602 Cumberland Ave Ste B102, Middlesboro, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 248-7778.
Rachel Andrea Jones-tackett is licensed to practice in Kentucky (license number 3012178) 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 1083118673.
Physician's Profile
Full Name | Rachel Andrea Jones-tackett |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 3602 Cumberland Ave Ste B102, Middlesboro, Kentucky |
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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: 1083118673
- Provider Enumeration Date: 03/20/2018
- Last Update Date: 08/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 9133477425
- Enrollment ID: I20180802001596
Medical Identifiers
Medical identifiers for Rachel Andrea Jones-tackett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083118673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 3012178 (Kentucky) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 3012178 (Kentucky) | 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. Rachel Andrea Jones-tackett allows following entities to bill medicare on her behalf.
Entity Name | Kentucky Friendly Care Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467939066 PECOS PAC ID: 0143572909 Enrollment ID: O20190410000910 |
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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. Rachel Andrea Jones-tackett 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 |
Rachel Andrea Jones-tackett, CPNP-PC 3602 Cumberland Ave Ste B102, Middlesboro, KY 40965-2614 Ph: (606) 248-7778 | Rachel Andrea Jones-tackett, CPNP-PC 3602 Cumberland Ave Ste B102, Middlesboro, KY 40965-2614 Ph: (606) 248-7778 |
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