Jacqueline Ann Suppan, MSN, CNS - Medicare Clinical Nurse Specialist in Canton, OH

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Jacqueline Ann Suppan, MSN, CNS is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Canton, Ohio. Her current practice location is 733 Market Ave S, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 489-4600.

Jacqueline Ann Suppan is licensed to practice in Ohio (license number CTP-06570) 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 1124084777.

Contact Information

Jacqueline Ann Suppan, MSN, CNS
733 Market Ave S,
Canton, OH 44702-2165
(330) 489-4600
(216) 229-2642

Map and Direction




Provider's Profile

Full NameJacqueline Ann Suppan
GenderFemale
SpecialityClinical Nurse Specialist - Adult Health
Location733 Market Ave S, Canton, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124084777
  • Provider Enumeration Date: 04/24/2006
  • Last Update Date: 04/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0547317562
  • Enrollment ID: I20090409000043

Medical Identifiers

Medical identifiers for Jacqueline Ann Suppan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124084777NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SA2200XClinical Nurse Specialist - Adult Health CTP-06570 (Ohio)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. Jacqueline Ann Suppan allows following entities to bill medicare on her behalf.
Entity NameThe Cleveland Clinic Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049

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 Suppan 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 AddressPractice Location Address
Jacqueline Ann Suppan, MSN, CNS
2825 E Paradise Street Ext,
Orrville, OH 44667-9621

Ph: (330) 683-2408		Jacqueline Ann Suppan, MSN, CNS
733 Market Ave S,
Canton, OH 44702-2165

Ph: (330) 489-4600

Reviews and Comments


Clinical Nurse Specialist Nurses in Canton, OH

Merita Konstantacos, RN,MSN, CCNS
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 2600 6th St Sw, Canton, OH 44710
Phone: 330-363-1342    
Sharon A Hoopingarner, CNP
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 624 Market Ave N, Canton, OH 44702
Phone: 330-493-4553    Fax: 330-493-3761
Patricia Anne Campos, CNS
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 2600 6th St Sw, Canton, OH 44710
Phone: 330-452-9911    
Joanne M Vaccani, CNS
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 624 Market Ave N, Canton, OH 44702
Phone: 330-493-4553    Fax: 330-493-3761
Danene Kirksey,
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 2323 Penn Place Northeast, Canton, OH 44704
Phone: 330-453-3336    
Debra Jo Young, CNS
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 2600 6th St Sw, Canton, OH 44710
Phone: 330-363-5442    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.