Jaclyn Kubisak Ralph, NP in Falmouth, MA - Medicare Nurse Practitioner

Jaclyn Kubisak Ralph, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Falmouth, Massachusetts. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Medical Affiliates Of Cape Cod Inc, Physicians Of Falmouth Hospital and her current practice location is 100 Ter Heun Dr, Falmouth, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 548-3800.

Jaclyn Kubisak Ralph is licensed to practice in Massachusetts (license number RN2329173) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578148599.

Contact Information

	Jaclyn Kubisak Ralph, NP
	100 Ter Heun Dr, Falmouth, MA 02540-2503
	(508) 548-3800
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclyn Kubisak Ralph
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	100 Ter Heun Dr, Falmouth, Massachusetts
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jaclyn Kubisak Ralph graduated from nursing school in 2020

NPI Data:

NPI Number: 1578148599
Provider Enumeration Date: 03/11/2021
Last Update Date: 09/02/2021

Medicare PECOS Information:

PECOS PAC ID: 9234536947
Enrollment ID: I20210923000475

Medical Identifiers

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

Identifier	Type	State	Issuer
1578148599	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	RN2329173 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Falmouth Hospital	Falmouth, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medical Affiliates Of Cape Cod Inc	3577471564	187
Physicians Of Falmouth Hospital	6800051970	57

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 Kubisak Ralph allows following entities to bill medicare on her behalf.

Entity Name	Medical Affiliates Of Cape Cod Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770534927 PECOS PAC ID: 3577471564 Enrollment ID: O20040510001010

Entity Name	Physicians Of Falmouth Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821363698 PECOS PAC ID: 6800051970 Enrollment ID: O20120625000127

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 Kubisak Ralph 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 Kubisak Ralph, NP 100 Ter Heun Dr, Falmouth, MA 02540-2503 Ph: () -	Jaclyn Kubisak Ralph, NP 100 Ter Heun Dr, Falmouth, MA 02540-2503 Ph: (508) 548-3800

Reviews and Comments

Nurse Practitioner Nurses in Falmouth, MA

Dr. William Stephen Sutton-ohannesian, DNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Ter Heun Dr, Falmouth, MA 02540 Phone: 508-548-5300
Anup Desai, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Ter Heun Dr, Falmouth, MA 02540 Phone: 508-457-4000
Jean Canty Schwartz, RNCPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15 Bramblebush Park, Falmouth, MA 02540 Phone: 508-548-6969 Fax: 508-540-2793
Catherine Rachel Cochrane, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 314 Gifford St, Falmouth, MA 02540 Phone: 508-548-4259
Rachel Hochmuth, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Ter Heun Dr, Falmouth, MA 02540 Phone: 508-548-5300 Fax: 508-457-3839
Colleen C Barry, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 Davis Straits, Falmouth, MA 02540 Phone: 774-255-3010 Fax: 508-388-2312
Laura W Mccarron, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 90 Ter Heun Dr Ste 301, Falmouth, MA 02540 Phone: 508-457-7922 Fax: 508-548-9853

Jaclyn Kubisak Ralph, NP - Medicare Nurse Practitioner in Falmouth, MA