Jaclyn Piechocki, NP in Indianapolis, IN - Medicare Nurse Practitioner

Jaclyn Piechocki, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Indianapolis, Indiana. Her current practice location is 2001 W 86th St, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 338-2345.

Jaclyn Piechocki is licensed to practice in Indiana (license number 71007517A) 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 1972013571.

Contact Information

	Jaclyn Piechocki, NP
	2001 W 86th St, Indianapolis, IN 46260-1902
	(317) 338-2345
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclyn Piechocki
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	2001 W 86th St, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972013571
Provider Enumeration Date: 10/09/2017
Last Update Date: 10/23/2017

Medicare PECOS Information:

PECOS PAC ID: 1254607005
Enrollment ID: I20171023000267

Medical Identifiers

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

Identifier	Type	State	Issuer
1972013571	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	71007517A (Indiana)	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 Piechocki allows following entities to bill medicare on her behalf.

Entity Name	St Vincent Pediatric Subspecialties
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013967736 PECOS PAC ID: 1557313939 Enrollment ID: O20050214000627

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 Piechocki 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 Piechocki, NP 10330 N Meridian St # 300, Indianapolis, IN 46290-1024 Ph: () -	Jaclyn Piechocki, NP 2001 W 86th St, Indianapolis, IN 46260-1902 Ph: (317) 338-2345

Reviews and Comments

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Jaclyn Piechocki, NP - Medicare Nurse Practitioner in Indianapolis, IN