Jack Dorsey O'connor, MS, PMHNP is a medicare enrolled "Counselor - Mental Health" in Rochester, New York. graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. is a member of the group practice University Of Rochester and current practice location is
81 Lake Ave, Rochester, New York. You can reach out to office (for appointments etc.) via phone at
(585) 368-6900.
Jack Dorsey O'connor is licensed to practice in * (Not Available) (license number ) and also participates in the medicare program.
accepts medicare assignments (which means accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and NPI Number is 1962016071.
Provider's Profile
| Full Name | Jack Dorsey O'connor |
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| Gender | |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 81 Lake Ave, Rochester, New York |
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| Accepts Medicare Assignments | Yes. 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:
- Jack Dorsey O'connor graduated from nursing school in 2015
NPI Data:
- NPI Number: 1962016071
- Provider Enumeration Date: 09/04/2020
- Last Update Date: 11/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426465618
- Enrollment ID: I20210406001765
Medical Identifiers
Medical identifiers for Jack Dorsey O'connor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962016071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F402984 (New York) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Of Rochester | 5799699088 | 793 |
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. Jack Dorsey O'connor allows following entities to bill medicare on behalf.
| Entity Name | University Of Rochester |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710226824
PECOS PAC ID: 5799699088
Enrollment ID: O20031201000019 |
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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. Jack Dorsey O'connor 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 |
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Jack Dorsey O'connor, MS, PMHNP
81 Lake Ave,
Rochester, NY 14608-1410
Ph: (585) 368-6900 | Jack Dorsey O'connor, MS, PMHNP
81 Lake Ave,
Rochester, NY 14608-1410
Ph: (585) 368-6900 |
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