Jacqueline Lavelle Patel, CRNP in Baltimore, MD

Jacqueline Lavelle Patel, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Baltimore, Maryland. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Villagehealth Dm Llc, Azra A Ahmed Md/pa, Villagehealth Dm Llc, Villagehealth Dm Llc and her current practice location is 8710 Emge Rd, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 661-5955.

Jacqueline Lavelle Patel is licensed to practice in Maryland (license number R118542) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1366702862.

Contact Information

	Jacqueline Lavelle Patel, CRNP
	8710 Emge Rd, Baltimore, MD 21234-3504
	(410) 661-5955
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Lavelle Patel
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	8710 Emge Rd, Baltimore, Maryland
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline Lavelle Patel graduated from nursing school in 2018

NPI Data:

NPI Number: 1366702862
Provider Enumeration Date: 05/18/2012
Last Update Date: 05/18/2012

Medicare PECOS Information:

PECOS PAC ID: 5092740738
Enrollment ID: I20051018000142

Medical Identifiers

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

Identifier	Type	State	Issuer
1366702862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	R118542 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Villagehealth Dm Llc	2769812445	111
Azra A Ahmed Md/pa	6507934395	3
Villagehealth Dm Llc	2769812445	111
Villagehealth Dm Llc	2769812445	111

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 Lavelle Patel allows following entities to bill medicare on her behalf.

Entity Name	Azra A Ahmed Md/pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295916724 PECOS PAC ID: 6507934395 Enrollment ID: O20081007000253

Entity Name	Matclinic Physicians Practice Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104375294 PECOS PAC ID: 3274804349 Enrollment ID: O20170808001490

Entity Name	Villagehealth Dm Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598273211 PECOS PAC ID: 2769812445 Enrollment ID: O20211012000432

Entity Name	Luminis Health Gilchrist Lifecare Institute, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992462667 PECOS PAC ID: 5991190837 Enrollment ID: O20220628000085

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 Lavelle Patel 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 Lavelle Patel, CRNP 6116 Adcock Ln, Hanover, MD 21076-1061 Ph: (410) 579-1619	Jacqueline Lavelle Patel, CRNP 8710 Emge Rd, Baltimore, MD 21234-3504 Ph: (410) 661-5955

Reviews and Comments

Nurse Practitioner Nurses in Baltimore, MD

Ms. Lindsay Bream O'meara, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Suite S4d07, Baltimore, MD 21201 Phone: 410-328-3365
Mrs. Tamara Jeanne Setola, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Johnnycake Rd Ste 101, Baltimore, MD 21244 Phone: 410-719-0063
Alison C Eissler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 N. Martin Luther King Jr. Blvd, Suite 102, Baltimore, MD 21201 Phone: 610-716-0192
Mrs. Rebecca Delaney Tsao, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 North Broadway, Suite 421, Baltimore, MD 21231 Phone: 410-955-6211
Kamishia Latasha Thomas, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline Street, Baltimore, MD 21264 Phone: 443-997-0270 Fax: 410-614-1168
Dana Aybout, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470
Andrew Brave, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-9000

Jacqueline Lavelle Patel, CRNP - Medicare Nurse Practitioner in Baltimore, MD