Dr Jacqueline R Sly, FNP, DNP is a medicare enrolled "Internal Medicine - Interventional Cardiology" in Brockton, Massachusetts. Her current practice location is
110 Liberty St, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 894-0400.
Dr Jacqueline R Sly is licensed to practice in Maine (license number CNP221579) 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 1912284316.
Provider's Profile
| Full Name | Dr Jacqueline R Sly |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 110 Liberty St, Brockton, Massachusetts |
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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:
- Dr Jacqueline R Sly attended and graduated from in
NPI Data:
- NPI Number: 1912284316
- Provider Enumeration Date: 11/14/2011
- Last Update Date: 08/09/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jacqueline R Sly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912284316 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | CNP221579 (Maine) | Secondary |
| 364SF0001X | Clinical Nurse Specialist - Family Health | RN189769 (Massachusetts) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | CNP221579 (Maine) | 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. Dr Jacqueline R Sly 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 |
|---|
Dr Jacqueline R Sly, FNP, DNP
8 Pikes Hl,
Norway, ME 04268-5340
Ph: (207) 744-6444 | Dr Jacqueline R Sly, FNP, DNP
110 Liberty St,
Brockton, MA 02301
Ph: (508) 894-0400 |
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