Jaclyn Sarah Sutton, AGACNP is a medicare enrolled "Internal Medicine" in Boca Raton, Florida. Her current practice location is
9970 Central Park Blvd N, Boca Raton, Florida. You can reach out to her office (for appointments etc.) via phone at
(561) 482-6611.
Jaclyn Sarah Sutton is licensed to practice in Florida (license number 11008989) 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 1871108738.
Provider's Profile
Full Name | Jaclyn Sarah Sutton |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 9970 Central Park Blvd N, Boca Raton, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871108738
- Provider Enumeration Date: 09/08/2020
- Last Update Date: 10/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 7719398841
- Enrollment ID: I20201123000244
Medical Identifiers
Medical identifiers for Jaclyn Sarah Sutton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871108738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2100X | Nurse Practitioner - Acute Care | 11008989 (Florida) | Secondary |
207R00000X | Internal Medicine | 11008989 (Florida) | 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 Sarah Sutton allows following entities to bill medicare on her behalf.
Entity Name | Genesiscare Usa Of Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134109747 PECOS PAC ID: 9830082882 Enrollment ID: O20040204000663 |
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Entity Name | Gus Armenakis Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265464846 PECOS PAC ID: 2668475872 Enrollment ID: O20060808000489 |
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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 Sarah Sutton 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 Sarah Sutton, AGACNP 20974 Concord Green Dr E, Boca Raton, FL 33433-1823 Ph: (195) 446-1911 | Jaclyn Sarah Sutton, AGACNP 9970 Central Park Blvd N, Boca Raton, FL 33428-2231 Ph: (561) 482-6611 |
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