Jacqueline Ann Coffman, PA-C is a medicare enrolled "Physician Assistant" in Paris, Illinois. Her current practice location is
2200 S Main St, Paris, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 463-4340.
Jacqueline Ann Coffman is licensed to practice in Illinois (license number 085003642) 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 1942536883.
Provider's Profile
Full Name | Jacqueline Ann Coffman |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2200 S Main St, Paris, Illinois |
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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: 1942536883
- Provider Enumeration Date: 10/28/2009
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476692757
- Enrollment ID: I20091125000613
Medical Identifiers
Medical identifiers for Jacqueline Ann Coffman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942536883 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 085003642 (Illinois) | Primary |
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 Ann Coffman 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 Ann Coffman, PA-C 501 Lake Land Blvd, Suite 202, System Practices, Mattoon, IL 61938-5283 Ph: (217) 258-3370 | Jacqueline Ann Coffman, PA-C 2200 S Main St, Paris, IL 61944-2966 Ph: (217) 463-4340 |
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