Jacqueline Scully, CPNP-AC/PC - Medicare Nurse Practitioner in Boston, MA

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Jacqueline Scully, CPNP-AC/PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Boston, Massachusetts. Her current practice location is 450 Brookline Ave, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 632-3270.

Jacqueline Scully is licensed to practice in Massachusetts (license number RN283145) 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 1073029930.

Contact Information

Jacqueline Scully, CPNP-AC/PC
450 Brookline Ave,
Boston, MA 02215-5418
(617) 632-3270
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Scully
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location450 Brookline Ave, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073029930
  • Provider Enumeration Date: 12/14/2017
  • Last Update Date: 12/14/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6800159609
  • Enrollment ID: I20180409001539

Medical Identifiers

Medical identifiers for Jacqueline Scully such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073029930NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics RN283145 (Massachusetts)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 Scully allows following entities to bill medicare on her behalf.
Entity NameChildren's Hospital Pediatric Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457306664
PECOS PAC ID: 3476541830
Enrollment ID: O20040504000964

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 Scully 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 AddressPractice Location Address
Jacqueline Scully, CPNP-AC/PC
29 Grove Pl,
Winchester, MA 01890-3818

Ph: () -		Jacqueline Scully, CPNP-AC/PC
450 Brookline Ave,
Boston, MA 02215-5418

Ph: (617) 632-3270

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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