Jacqueline Brown, CRNA in Charlotte, NC - Medicare Nurse Anesthetist, Certified Registered

Jacqueline Brown, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Charlotte, North Carolina. Her current practice location is 200 Hawthorne Ln, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 384-4239.

Jacqueline Brown is licensed to practice in North Carolina (license number 035103) 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 1598722985.

Contact Information

	Jacqueline Brown, CRNA
	200 Hawthorne Ln, Charlotte, NC 28204-2515
	(704) 384-4239
	(704) 384-5636

Map and Direction

Provider's Profile

Full Name	Jacqueline Brown
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	200 Hawthorne Ln, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598722985
Provider Enumeration Date: 04/28/2006
Last Update Date: 08/17/2007

Medicare PECOS Information:

PECOS PAC ID: 7113028424
Enrollment ID: I20070730000813

Medical Identifiers

Medical identifiers for Jacqueline Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598722985	NPI	-	NPPES
8050806	Medicaid	NC
NAN059	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	035103 (North Carolina)	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 Brown allows following entities to bill medicare on her behalf.

Entity Name	The Presbyterian Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487626933 PECOS PAC ID: 1153231907 Enrollment ID: O20031126000588

Entity Name	Providence Anesthesiology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396739884 PECOS PAC ID: 3971566761 Enrollment ID: O20041111000930

Entity Name	Perioperative Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023323128 PECOS PAC ID: 1951426246 Enrollment ID: O20100909000830

Entity Name	Carolina Regional Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891072609 PECOS PAC ID: 5496921769 Enrollment ID: O20120109000406

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 Brown 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 Brown, CRNA Po Box 601549, Charlotte, NC 28260-1549 Ph: (704) 384-4239	Jacqueline Brown, CRNA 200 Hawthorne Ln, Charlotte, NC 28204-2515 Ph: (704) 384-4239

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Charlotte, NC

Welo Sylvie Olenga, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4239 Fax: 704-384-5636
Mr. Kevin E. West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Mrs. Colleen M. Ebner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Mrs. Christine E. Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Meredith L Draper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Alison Anne Woodruff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Raven Danielle Lyles, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4274

Jacqueline Brown, CRNA - Medicare Nurse Anesthetist, Certified Registered in Charlotte, NC