Jacqueline Idun, NP in Antioch, CA - Medicare Nurse Practitioner

Jacqueline Idun, NP is a medicare enrolled "Nurse Practitioner - Family" in Antioch, California. Her current practice location is 2213 Buchanan Rd Ste 103, Antioch, California. You can reach out to her office (for appointments etc.) via phone at (925) 303-4780.

Jacqueline Idun is licensed to practice in California (license number 95014031) 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 1659903045.

Contact Information

	Jacqueline Idun, NP
	2213 Buchanan Rd Ste 103, Antioch, CA 94509-4265
	(925) 303-4780
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Idun
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2213 Buchanan Rd Ste 103, Antioch, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659903045
Provider Enumeration Date: 02/04/2020
Last Update Date: 04/06/2020

Medicare PECOS Information:

PECOS PAC ID: 0749658631
Enrollment ID: I20221128000843

Medical Identifiers

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

Identifier	Type	State	Issuer
1659903045	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95071879 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95014031 (California)	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 Idun allows following entities to bill medicare on her behalf.

Entity Name	Bass Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174253405 PECOS PAC ID: 9032111281 Enrollment ID: O20070201000181

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 Idun 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 Idun, NP 2213 Buchanan Rd Ste 103, Antioch, CA 94509-4265 Ph: () -	Jacqueline Idun, NP 2213 Buchanan Rd Ste 103, Antioch, CA 94509-4265 Ph: (925) 303-4780

Reviews and Comments

Nurse Practitioner Nurses in Antioch, CA

Vuthy Jenkins, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3707 Sunset Ln, Antioch, CA 94509 Phone: 925-522-0124
Roxanne Cara Stiles-donnelly, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3624 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5418
Debbie Slack-gay, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1320 Putnam St, Antioch, CA 94509 Phone: 559-903-5655
Pamela Di Franco, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3903 Lone Tree Way Ste 104, Antioch, CA 94509 Phone: 925-755-1255
Funmilola Umoren, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2435 Kaiser Way, Antioch, CA 94531 Phone: 661-345-2005
Vandana Kumar, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3505 Lone Tree Way, Antioch, CA 94509 Phone: 925-303-4780
Kizzy Kinte' Houston, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-7200

Jacqueline Idun, NP - Medicare Nurse Practitioner in Antioch, CA