Jacqueline Diane Lilly, PHD APRN BC is a medicare enrolled "Clinical Nurse Specialist" in Oswego, New York. She graduated from nursing school in 1973 and has 52 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). Her current practice location is
102 West Utica Street, Oswego, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 342-2450.
Jacqueline Diane Lilly is licensed to practice in New York (license number RN2539751) 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 1114035516.
Provider's Profile
Full Name | Jacqueline Diane Lilly |
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Gender | Female |
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Speciality | Certified Clinical Nurse Specialist (cns) |
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Experience | 52 Years |
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Location | 102 West Utica Street, Oswego, New York |
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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 Diane Lilly graduated from nursing school in 1973
NPI Data:
- NPI Number: 1114035516
- Provider Enumeration Date: 08/26/2006
- Last Update Date: 10/17/2007
Medicare PECOS Information:
- PECOS PAC ID: 2860593589
- Enrollment ID: I20070725000491
Medical Identifiers
Medical identifiers for Jacqueline Diane Lilly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114035516 | NPI | - | NPPES |
7493000 | Other | | VALUE OPTIONS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364S00000X | Clinical Nurse Specialist | RN2539751 (New York) | 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 Diane Lilly 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 Diane Lilly, PHD APRN BC 102 West Utica Street, Oswego, NY 13126 Ph: (315) 342-2450 | Jacqueline Diane Lilly, PHD APRN BC 102 West Utica Street, Oswego, NY 13126 Ph: (315) 342-2450 |
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