Jaclyn K Birn, FNP-C in Bridgeport, CT - Medicare Nurse Practitioner

Jaclyn K Birn, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Bridgeport, Connecticut. Her current practice location is 2800 Main St, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 576-6177.

Jaclyn K Birn is licensed to practice in Connecticut (license number 7190) 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 1205353919.

Contact Information

	Jaclyn K Birn, FNP-C
	2800 Main St, Bridgeport, CT 06606-4201
	(203) 576-6177
	(203) 576-6146

Map and Direction

Provider's Profile

Full Name	Jaclyn K Birn
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2800 Main St, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205353919
Provider Enumeration Date: 08/23/2017
Last Update Date: 02/17/2023

Medicare PECOS Information:

PECOS PAC ID: 6507130648
Enrollment ID: I20170927004657

Medical Identifiers

Medical identifiers for Jaclyn K Birn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205353919	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	7190 (Connecticut)	Primary
363L00000X	Nurse Practitioner	7190 (Connecticut)	Secondary

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. Jaclyn K Birn allows following entities to bill medicare on her behalf.

Entity Name	Meditox Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730623737 PECOS PAC ID: 9830535723 Enrollment ID: O20240314000324

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. Jaclyn K Birn 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
Jaclyn K Birn, FNP-C 1290 Silas Deane Hwy, Hartford Healthcare-cvo, Wethersfield, CT 06109-4337 Ph: () -	Jaclyn K Birn, FNP-C 2800 Main St, Bridgeport, CT 06606-4201 Ph: (203) 576-6177

Reviews and Comments

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Jaclyn K Birn, FNP-C - Medicare Nurse Practitioner in Bridgeport, CT