Jaclyn Kamidoi, in Port Huron, MI - Medicare Nurse Practitioner

Jaclyn Kamidoi, is a medicare enrolled "Nurse Practitioner" in Port Huron, Michigan. Her current practice location is 1201 Stone St Ste 5, Port Huron, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 966-9556.

Jaclyn Kamidoi is licensed to practice in Michigan (license number 18073090341) 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 1992202998.

Contact Information

	Jaclyn Kamidoi,
	1201 Stone St Ste 5, Port Huron, MI 48060-3563
	(810) 966-9556
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclyn Kamidoi
Gender	Female
Speciality	Nurse Practitioner
Location	1201 Stone St Ste 5, Port Huron, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992202998
Provider Enumeration Date: 04/07/2018
Last Update Date: 04/07/2018

Medicare PECOS Information:

PECOS PAC ID: 9234476417
Enrollment ID: I20190125001233

Medical Identifiers

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

Identifier	Type	State	Issuer
1992202998	NPI	-	NPPES
1538153176	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	18073090341 (Michigan)	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 Kamidoi allows following entities to bill medicare on her behalf.

Entity Name	Riad R. Hajjar Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164620753 PECOS PAC ID: 2365475712 Enrollment ID: O20050915000577

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 Kamidoi 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 Kamidoi, 4200 Old Forge Dr, Fort Gratiot, MI 48059-4030 Ph: (586) 292-2012	Jaclyn Kamidoi, 1201 Stone St Ste 5, Port Huron, MI 48060-3563 Ph: (810) 966-9556

Reviews and Comments

Nurse Practitioner Nurses in Port Huron, MI

Ms. Margaret Ann Gressle, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000
Justine Schrader, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1979 Holland Ave, Port Huron, MI 48060 Phone: 810-982-1200
Amy Storey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 810-985-2669
Carol Lydia Wiediger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900
Mrs. Sarah Colleen Ingles, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2875 Henry St, Port Huron, MI 48060 Phone: 810-966-7804 Fax: 810-987-9148
Mrs. Elizabeth May Helmreich, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Stone St, Suite 5, Port Huron, MI 48060 Phone: 810-966-9556 Fax: 810-966-4898
Gudalia Fajardo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2603 Electric Ave Ste 1, Port Huron, MI 48060 Phone: 810-987-5252 Fax: 810-987-2120

Jaclyn Kamidoi, - Medicare Nurse Practitioner in Port Huron, MI