Jaclyn Shields, in Louisville, KY - Medicare Nurse Practitioner

Jaclyn Shields, is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. Her current practice location is 231 E Chestnut St, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 494-9521.

Jaclyn Shields is licensed to practice in Kentucky (license number 4008949) 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 1013696798.

Contact Information

	Jaclyn Shields,
	231 E Chestnut St, Louisville, KY 40202-1821
	(502) 494-9521
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclyn Shields
Gender	Female
Speciality	Nurse Practitioner - Family
Location	231 E Chestnut St, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013696798
Provider Enumeration Date: 07/11/2023
Last Update Date: 06/25/2024

Medicare PECOS Information:

PECOS PAC ID: 7618327495
Enrollment ID: I20231219003363

Medical Identifiers

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

Identifier	Type	State	Issuer
1013696798	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0200X	Registered Nurse - Pediatrics	1138276 (Kentucky)	Secondary
363LF0000X	Nurse Practitioner - Family	4008949 (Kentucky)	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 Shields allows following entities to bill medicare on her behalf.

Entity Name	Norton Childrens Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758

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 Shields 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 Shields, 205 Sunset Dr, Lawrenceburg, KY 40342-1458 Ph: (502) 494-9521	Jaclyn Shields, 231 E Chestnut St, Louisville, KY 40202-1821 Ph: (502) 494-9521

Reviews and Comments

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Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117
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Jaclyn Shields, - Medicare Nurse Practitioner in Louisville, KY