Jacqueline Anders, FNP is a medicare enrolled "Nurse Practitioner - Family" in North Webster, Indiana. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kosciusko Medical Group Llc and her current practice location is
614 N Main St, North Webster, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 834-7677.
Jacqueline Anders is licensed to practice in Indiana (license number 28157053A) 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 1881075877.
Provider's Profile
Full Name | Jacqueline Anders |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 9 Years |
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Location | 614 N Main St, North Webster, Indiana |
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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:
- Jacqueline Anders graduated from nursing school in 2015
NPI Data:
- NPI Number: 1881075877
- Provider Enumeration Date: 06/15/2015
- Last Update Date: 10/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 3577878131
- Enrollment ID: I20150812007033
Medical Identifiers
Medical identifiers for Jacqueline Anders such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881075877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 28157053A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Kosciusko Medical Group Llc | 5496809956 | 50 |
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. Jacqueline Anders allows following entities to bill medicare on her behalf.
Entity Name | Kosciusko Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932349594 PECOS PAC ID: 5496809956 Enrollment ID: O20090818000398 |
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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. Jacqueline Anders 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 |
Jacqueline Anders, FNP 614 N Main St, North Webster, IN 46555-9364 Ph: (574) 834-7677 | Jacqueline Anders, FNP 614 N Main St, North Webster, IN 46555-9364 Ph: (574) 834-7677 |
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