Jacqueline Kienholz, PA is a medicare enrolled "Surgery - Surgical Oncology" in Gilbert, Arizona. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Banner Cancer Center Specialists Llc and her current practice location is
Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 256-6444.
Jacqueline Kienholz is licensed to practice in Arizona (license number 5467) 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 1649618356.
Provider's Profile
| Full Name | Jacqueline Kienholz |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 12 Years |
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| Location | Banner Md Anderson Cancer Center, Gilbert, Arizona |
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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 Kienholz graduated from nursing school in 2012
NPI Data:
- NPI Number: 1649618356
- Provider Enumeration Date: 06/05/2013
- Last Update Date: 03/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 4688804735
- Enrollment ID: I20140311001291
Medical Identifiers
Medical identifiers for Jacqueline Kienholz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649618356 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | PA22903 (California) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 5467 (Arizona) | Secondary |
| 364SF0001X | Clinical Nurse Specialist - Family Health | PA22903 (California) | Secondary |
| 2086X0206X | Surgery - Surgical Oncology | 5467 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Banner Cancer Center Specialists Llc | 6103097779 | 261 |
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 Kienholz 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 Kienholz, PA
Banner Md Anderson Cancer Center, 2940 E. Banner Gateway Drive,
Gilbert, AZ 85234
Ph: (480) 256-6444 | Jacqueline Kienholz, PA
Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive,
Gilbert, AZ 85234
Ph: (480) 256-6444 |
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