Jaclyn Craigin, FNP is a medicare enrolled "Nurse Practitioner - Family" in Williamsport, Indiana. Her current practice location is
1731 Ringer Ln, Williamsport, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 762-4170.
Jaclyn Craigin is licensed to practice in Indiana (license number 71007859A) 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 1073013785.
Provider's Profile
Full Name | Jaclyn Craigin |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1731 Ringer Ln, Williamsport, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073013785
- Provider Enumeration Date: 02/19/2018
- Last Update Date: 06/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 2466715156
- Enrollment ID: I20180411000164
Medical Identifiers
Medical identifiers for Jaclyn Craigin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073013785 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 71007859A (Indiana) | 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. Jaclyn Craigin allows following entities to bill medicare on her behalf.
Entity Name | St Vincent Williamsport Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518913565 PECOS PAC ID: 4486636776 Enrollment ID: O20040601001558 |
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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. Jaclyn Craigin 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 Craigin, FNP 1731 Ringer Ln, Williamsport, IN 47993-8900 Ph: () - | Jaclyn Craigin, FNP 1731 Ringer Ln, Williamsport, IN 47993-8900 Ph: (765) 762-4170 |
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