Jaclyn Theresa Channell, AGACNP in Dallas, TX

Jaclyn Theresa Channell, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Dallas, Texas. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dallas Pulmonary And Critical Care, Pa, Hospitalist Medicine Physicians Of Texas Pllc, Dfw Critical Care Llc and her current practice location is 221 W Colorado Blvd Ste 525, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 956-4525.

Jaclyn Theresa Channell is licensed to practice in Texas (license number AP145190) 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 1700419421.

Contact Information

	Jaclyn Theresa Channell, AGACNP
	221 W Colorado Blvd Ste 525, Dallas, TX 75208-2312
	(214) 956-4525
	(214) 960-5681

Map and Direction

Provider's Profile

Full Name	Jaclyn Theresa Channell
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	221 W Colorado Blvd Ste 525, Dallas, Texas
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 Theresa Channell graduated from nursing school in 2019

NPI Data:

NPI Number: 1700419421
Provider Enumeration Date: 02/20/2020
Last Update Date: 03/26/2024

Medicare PECOS Information:

PECOS PAC ID: 6608297569
Enrollment ID: I20200601001391

Medical Identifiers

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

Identifier	Type	State	Issuer
1700419421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	792582 (Texas)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	AP145190 (Texas)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	AP145190 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baylor Scott & White All Saints Medical Center Fort Worth	Fort worth, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dallas Pulmonary And Critical Care, Pa	2163679200	148
Hospitalist Medicine Physicians Of Texas Pllc	3476688318	889
Dfw Critical Care Llc	7618261884	12

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 Theresa Channell allows following entities to bill medicare on her behalf.

Entity Name	Healthtexas Provider Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187

Entity Name	Hospitalist Medicine Physicians Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20100317001021

Entity Name	Dallas Pulmonary & Critical Care, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235402728 PECOS PAC ID: 2163679200 Enrollment ID: O20120824000752

Entity Name	Dfw Critical Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184071771 PECOS PAC ID: 7618261884 Enrollment ID: O20160810002395

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 Theresa Channell 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 Theresa Channell, AGACNP 5264 Katy Rose Ct, Fort Worth, TX 76126-3053 Ph: (817) 907-9467	Jaclyn Theresa Channell, AGACNP 221 W Colorado Blvd Ste 525, Dallas, TX 75208-2312 Ph: (214) 956-4525

Reviews and Comments

Nurse Practitioner Nurses in Dallas, TX

Mrs. Darleen Dansby, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1513 Viceroy Dr, Dallas, TX 75235 Phone: 469-685-7020 Fax: 214-920-7020
Ms. Kimberley Shenee Player, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8604 Greenville Ave Ste 103a, Dallas, TX 75243 Phone: 214-702-5855
Teresa Anna Jones, CPNP-AC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 973-801-0173
Christina Hagood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6301 Gaston Ave, Suite 100, West Tower, Dallas, TX 75214 Phone: 214-827-3610 Fax: 214-821-4017
Susan C. Chesire, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 651, Dallas, TX 75246 Phone: 214-820-9115 Fax: 214-820-9135
Mrs. Larah Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3209 W Camp Wisdom Rd, Dallas, TX 75237 Phone: 469-966-9660 Fax: 877-667-6112
Michele Willet Rylander, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 214-456-7000

Jaclyn Theresa Channell, AGACNP - Medicare Nurse Practitioner in Dallas, TX