Jackie M Kypta, RNFA in Flagstaff, AZ - Medicare Registered Nurse

Jackie M Kypta, RNFA is a medicare enrolled "Registered Nurse - Registered Nurse First Assistant" in Flagstaff, Arizona. Her current practice location is 2050 E Chisholm Trl, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 714-9379.

Jackie M Kypta is licensed to practice in Arizona (license number RN105443) 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 1639461445.

Contact Information

	Jackie M Kypta, RNFA
	2050 E Chisholm Trl, Flagstaff, AZ 86001-9328
	(928) 714-9379
	Not Available

Map and Direction

Provider's Profile

Full Name	Jackie M Kypta
Gender	Female
Speciality	Registered Nurse - Registered Nurse First Assistant
Location	2050 E Chisholm Trl, Flagstaff, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639461445
Provider Enumeration Date: 05/11/2011
Last Update Date: 05/11/2011

Medicare PECOS Information:

PECOS PAC ID: 9638486673
Enrollment ID: I20150928002935

Medical Identifiers

Medical identifiers for Jackie M Kypta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639461445	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WR0006X	Registered Nurse - Registered Nurse First Assistant	RN105443 (Arizona)	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. Jackie M Kypta allows following entities to bill medicare on her behalf.

Entity Name	Flagstaff Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780635078 PECOS PAC ID: 2769392554 Enrollment ID: O20031230000199

Entity Name	Flagstaff First Assist Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245525914 PECOS PAC ID: 8921315961 Enrollment ID: O20150923001808

Entity Name	Northern Arizona Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409

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. Jackie M Kypta 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
Jackie M Kypta, RNFA 2050 E Chisholm Trl, Flagstaff, AZ 86001-9328 Ph: (928) 714-9379	Jackie M Kypta, RNFA 2050 E Chisholm Trl, Flagstaff, AZ 86001-9328 Ph: (928) 714-9379

Reviews and Comments

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Leah Marie Coffman Paul, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366
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Ms. Marlys Kay Balzer, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 W Elm Ave, Flagstaff, AZ 86001 Phone: 928-773-8102 Fax: 928-773-8146
Neina Orrillo, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504
Rebecca Baca, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3285 E Sparrow Ave, Flagstaff, AZ 86004 Phone: 928-773-8252

Jackie M Kypta, RNFA - Medicare Registered Nurse in Flagstaff, AZ