Becky A Jacks, in Waldorf, MD - Medicare Nurse Practitioner

Becky A Jacks, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Waldorf, Maryland. Her current practice location is 11100 Billingsley Rd, Waldorf, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 357-4199.

Becky A Jacks is licensed to practice in Maryland (license number R232693) 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 1245911767.

Contact Information

	Becky A Jacks,
	11100 Billingsley Rd, Waldorf, MD 20602-3400
	(301) 357-4199
	Not Available

Map and Direction

Provider's Profile

Full Name	Becky A Jacks
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	11100 Billingsley Rd, Waldorf, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245911767
Provider Enumeration Date: 07/27/2023
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 3779022462
Enrollment ID: I20240826003425

Medical Identifiers

Medical identifiers for Becky A Jacks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245911767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R232693 (Maryland)	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. Becky A Jacks allows following entities to bill medicare on her behalf.

Entity Name	Kirstin's Haven, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225585136 PECOS PAC ID: 2264778778 Enrollment ID: O20190103002448

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514

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. Becky A Jacks 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
Becky A Jacks, 11100 Billingsley Rd, Waldorf, MD 20602-3400 Ph: (301) 357-4199	Becky A Jacks, 11100 Billingsley Rd, Waldorf, MD 20602-3400 Ph: (301) 357-4199

Reviews and Comments

Nurse Practitioner Nurses in Waldorf, MD

Mr. Moenil Patel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Patricks Dr, Waldorf, MD 20603 Phone: 301-373-7900 Fax: 301-373-6900
Ms. Gloria Alice Johnston, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2805 Trumpeter Ct, Waldorf, MD 20601 Phone: 240-353-2516
Vanessa Wansel, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2193 Everett Ct, Waldorf, MD 20601 Phone: 301-535-8457
Emily Rosa Odenwald, MSN, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 173 Saint Patricks Dr Ste 104, Waldorf, MD 20603 Phone: 888-731-8994
Oluwatoyin Rachael Adelakun, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10612 Cheryl Turn, Waldorf, MD 20603 Phone: 301-377-4325
Dawnette Gaylene Campbell, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10542 Black Pine Ln, Waldorf, MD 20603 Phone: 301-537-3642
Queen K Iji, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3070 Crain Hwy, Waldorf, MD 20601 Phone: 301-645-3556

Becky A Jacks, - Medicare Nurse Practitioner in Waldorf, MD