Jacqueline Carbone, AGACNP is a medicare enrolled "Nurse Practitioner" in Federal Heights, Colorado. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ollin Health Llc and her current practice location is
2890 W 92nd Ave, Federal Heights, Colorado. You can reach out to her office (for appointments etc.) via phone at
(720) 604-1243.
Jacqueline Carbone is licensed to practice in Colorado (license number 171285) 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 1386194942.
Provider's Profile
| Full Name | Jacqueline Carbone |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 2890 W 92nd Ave, Federal Heights, Colorado |
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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. |
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Medical Education and Training:
- Jacqueline Carbone graduated from nursing school in 2016
NPI Data:
- NPI Number: 1386194942
- Provider Enumeration Date: 10/07/2016
- Last Update Date: 09/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426300153
- Enrollment ID: I20181009000400
Medical Identifiers
Medical identifiers for Jacqueline Carbone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386194942 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 171285 (Colorado) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 171285 (Colorado) | Secondary |
| 363L00000X | Nurse Practitioner | 171285 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ollin Health Llc | 1951765478 | 2 |
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 Carbone allows following entities to bill medicare on her behalf.
| Entity Name | Balanced Mental Wellness Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831797844
PECOS PAC ID: 1759756364
Enrollment ID: O20230413001274 |
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| Entity Name | Ollin Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073293668
PECOS PAC ID: 1951765478
Enrollment ID: O20230915001714 |
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| Entity Name | Mobile Wound Rx Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740045780
PECOS PAC ID: 7315387347
Enrollment ID: O20240424002922 |
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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 Carbone 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 |
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Jacqueline Carbone, AGACNP
700 E Cleveland St,
Lafayette, CO 80026-2308
Ph: (720) 604-1243 | Jacqueline Carbone, AGACNP
2890 W 92nd Ave,
Federal Heights, CO 80260-5811
Ph: (720) 604-1243 |
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