Jacqueline Lucero Abola, APRN FNP-C in Las Vegas, NV

Jacqueline Lucero Abola, APRN FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Las Vegas, Nevada. Her current practice location is 6885 W Lone Mountain Rd Apt 254, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (650) 398-9254.

Jacqueline Lucero Abola is licensed to practice in Nevada (license number 852876) 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 1770335630.

Contact Information

	Jacqueline Lucero Abola, APRN FNP-C
	6885 W Lone Mountain Rd Apt 254, Las Vegas, NV 89108-5813
	(650) 398-9254
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Lucero Abola
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6885 W Lone Mountain Rd Apt 254, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770335630
Provider Enumeration Date: 04/03/2024
Last Update Date: 04/03/2024

Medicare PECOS Information:

PECOS PAC ID: 6002347093
Enrollment ID: I20241001003245

Medical Identifiers

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

Identifier	Type	State	Issuer
1770335630	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	852876 (Nevada)	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 Lucero Abola allows following entities to bill medicare on her behalf.

Entity Name	Universal Medical Alliance Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659995090 PECOS PAC ID: 6608291828 Enrollment ID: O20200805002206

Entity Name	Jd Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376307058 PECOS PAC ID: 2668817750 Enrollment ID: O20240228002869

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 Lucero Abola 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 Lucero Abola, APRN FNP-C 6885 W Lone Mountain Rd Apt 254, Las Vegas, NV 89108-5813 Ph: (650) 398-9254	Jacqueline Lucero Abola, APRN FNP-C 6885 W Lone Mountain Rd Apt 254, Las Vegas, NV 89108-5813 Ph: (650) 398-9254

Reviews and Comments

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Jacqueline Lucero Abola, APRN FNP-C - Medicare Nurse Practitioner in Las Vegas, NV