Jaclyn L Mis, PAC in Tinley Park, IL - Medicare Physician Assistant

Jaclyn L Mis, PAC is a medicare enrolled "Physician Assistant" in Tinley Park, Illinois. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Dupage Medical Group Ltd and her current practice location is 17495 La Grange Rd, Tinley Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 416-6641.

Jaclyn L Mis is licensed to practice in Illinois (license number 085004190) 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 1073899548.

Contact Information

	Jaclyn L Mis, PAC
	17495 La Grange Rd, Tinley Park, IL 60487-7581
	(815) 416-6641
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclyn L Mis
Gender	Female
Speciality	Physician Assistant
Experience	13 Years
Location	17495 La Grange Rd, Tinley Park, Illinois
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 L Mis graduated from nursing school in 2011

NPI Data:

NPI Number: 1073899548
Provider Enumeration Date: 10/28/2011
Last Update Date: 07/24/2023

Medicare PECOS Information:

PECOS PAC ID: 2860667326
Enrollment ID: I20111212000370

Medical Identifiers

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

Identifier	Type	State	Issuer
1073899548	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	085004190 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Palos Community Hospital	Palos heights, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dupage Medical Group Ltd	5496667941	1186

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 L Mis 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 L Mis, PAC Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200	Jaclyn L Mis, PAC 17495 La Grange Rd, Tinley Park, IL 60487-7581 Ph: (815) 416-6641

Reviews and Comments

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Jaclyn L Mis, PAC - Medicare Physician Assistant in Tinley Park, IL