Jackie Ollis, PMHNP-BC in Apache Junction, AZ

Jackie Ollis, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Apache Junction, Arizona. Her current practice location is 625 N Plaza Dr, Apache Junction, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 474-5584.

Jackie Ollis is licensed to practice in Arizona (license number AP8521) 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 1750735163.

Contact Information

	Jackie Ollis, PMHNP-BC
	625 N Plaza Dr, Apache Junction, AZ 85120-5501
	(480) 474-5584
	Not Available

Map and Direction

Provider's Profile

Full Name	Jackie Ollis
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	625 N Plaza Dr, Apache Junction, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750735163
Provider Enumeration Date: 04/21/2016
Last Update Date: 03/16/2023

Medicare PECOS Information:

PECOS PAC ID: 8628362639
Enrollment ID: I20160812001235

Medical Identifiers

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

Identifier	Type	State	Issuer
1750735163	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN197907 (Arizona)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP8521 (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 Ollis allows following entities to bill medicare on her behalf.

Entity Name	Horizon Health And Wellness, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659308989 PECOS PAC ID: 6406759711 Enrollment ID: O20040202000450

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 Ollis 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 Ollis, PMHNP-BC 1351 N Alma School Rd, Chandler, AZ 85224-5936 Ph: (480) 814-7789	Jackie Ollis, PMHNP-BC 625 N Plaza Dr, Apache Junction, AZ 85120-5501 Ph: (480) 474-5584

Reviews and Comments

Nurse Practitioner Nurses in Apache Junction, AZ

Mrs. Janet Ann Callon, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 625 N Plaza Dr, Apache Junction, AZ 85120 Phone: 480-983-0065 Fax: 480-983-0896
Cassidy Lorraine Ducray, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 625 N Plaza Dr, Apache Junction, AZ 85120 Phone: 833-431-4449
Mrs. Fernanda Castaneda, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 183 W Apache Trl # B109, Apache Junction, AZ 85120 Phone: 480-887-9743
Mrs. Janina Marie Elkin, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 S Delaware Dr Ste 1, Apache Junction, AZ 85120 Phone: 480-646-1001 Fax: 480-646-1002
Mary Joyce Grubb, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10633 E Apache Trl, Suite 106, Apache Junction, AZ 85120 Phone: 480-984-1542 Fax: 480-986-6436
Melinda Marie Ramsdell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2440 S Ironwood Dr, Apache Junction, AZ 85120 Phone: 602-755-0800
Elizabeth Kearney, RN, NO-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 847 N Sunset Rd, Apache Junction, AZ 85119 Phone: 480-528-2736

Jackie Ollis, PMHNP-BC - Medicare Nurse Practitioner in Apache Junction, AZ