Jaclyn Sims, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Jaclyn Sims, CRNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Philadelphia, Pennsylvania. Her current practice location is 4508 Chestnut St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (267) 787-8300.

Jaclyn Sims is licensed to practice in Pennsylvania (license number SP017247) 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 1902333560.

Contact Information

	Jaclyn Sims, CRNP
	4508 Chestnut St, Philadelphia, PA 19139-3608
	(267) 787-8300
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclyn Sims
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	4508 Chestnut St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902333560
Provider Enumeration Date: 05/15/2017
Last Update Date: 04/26/2019

Medicare PECOS Information:

PECOS PAC ID: 3173889490
Enrollment ID: I20171102000295

Medical Identifiers

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

Identifier	Type	State	Issuer
1902333560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	26NJ00726300 (New Jersey)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	SP017247 (Pennsylvania)	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 Sims allows following entities to bill medicare on her behalf.

Entity Name	Atlanticare Physician Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405

Entity Name	Atlanticare Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669698924 PECOS PAC ID: 0648181578 Enrollment ID: O20081103000340

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 Sims 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 Sims, CRNP 20 Cherry Ln, West Deptford, NJ 08096-6311 Ph: (570) 590-0056	Jaclyn Sims, CRNP 4508 Chestnut St, Philadelphia, PA 19139-3608 Ph: (267) 787-8300

Reviews and Comments

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Jaclyn Sims, CRNP - Medicare Nurse Practitioner in Philadelphia, PA