Jacklyn Obeng, NP in Norwich, CT - Medicare Nurse Practitioner

Jacklyn Obeng, NP is a medicare enrolled "Nurse Practitioner - Family" in Norwich, Connecticut. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hartford Healthcare Urgent Care Centers Llc and her current practice location is 624 W Main St, Norwich, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 200-8098.

Jacklyn Obeng is licensed to practice in Connecticut (license number 005901) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114328507.

Contact Information

	Jacklyn Obeng, NP
	624 W Main St, Norwich, CT 06360-6043
	(860) 200-8098
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacklyn Obeng
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	624 W Main St, Norwich, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacklyn Obeng graduated from nursing school in 2013

NPI Data:

NPI Number: 1114328507
Provider Enumeration Date: 09/04/2014
Last Update Date: 03/09/2021

Medicare PECOS Information:

PECOS PAC ID: 0143544114
Enrollment ID: I20150122000323

Medical Identifiers

Medical identifiers for Jacklyn Obeng such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114328507	NPI	-	NPPES
04001781	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	005901 (Connecticut)	Primary
363LF0000X	Nurse Practitioner - Family	338443-1 (New York)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hartford Healthcare Urgent Care Centers Llc	7618242777	161

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. Jacklyn Obeng allows following entities to bill medicare on her behalf.

Entity Name	Mc Diagnostic Of Connecticut, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386821932 PECOS PAC ID: 0941382113 Enrollment ID: O20080126000057

Entity Name	Hartford Healthcare Urgent Care Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093239683 PECOS PAC ID: 7618242777 Enrollment ID: O20170929001464

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. Jacklyn Obeng 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
Jacklyn Obeng, NP 1290 Silas Deane Hwy Fl 1, Wethersfield, CT 06109-4337 Ph: (860) 972-6970	Jacklyn Obeng, NP 624 W Main St, Norwich, CT 06360-6043 Ph: (860) 200-8098

Reviews and Comments

Nurse Practitioner Nurses in Norwich, CT

Mafe Duyan Rato, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 624 W West Main St, St 140, Norwich, CT 06360 Phone: 860-200-8098
Meagan Gates, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 372 W Main St, Norwich, CT 06360 Phone: 860-887-5970
Mrs. Polina Verbitsky-havasov, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 Town St Ste 300, Norwich, CT 06360 Phone: 860-886-0567 Fax: 860-886-0656
John Kemp, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Cliff St, Norwich, CT 06360 Phone: 860-887-6536 Fax: 860-823-3856
Sarah Jean Robertson, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 W Main St, Norwich, CT 06360 Phone: 860-889-1400
Jessica Banning, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Lathrop Ave, Norwich, CT 06360 Phone: 860-204-0883
Olubunmi Olugbile, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 326 Washington St, Norwich, CT 06360 Phone: 860-889-8331

Jacklyn Obeng, NP - Medicare Nurse Practitioner in Norwich, CT