Jacquelyn Nicole Fillingham, CRNA in Lebanon, NH - Medicare Certified Registered Nurse Anesthetist (crna)

Jacquelyn Nicole Fillingham, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lebanon, New Hampshire. She went to University Of Southern California Keck School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Dartmouth-hitchcock Clinic and her current practice location is One Medical Center Drive, Anesthesiology, Lebanon, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 650-5922.

Jacquelyn Nicole Fillingham is licensed to practice in New Hampshire (license number 087137-23) 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 1528433752.

Contact Information

	Jacquelyn Nicole Fillingham, CRNA
	One Medical Center Drive, Anesthesiology, Lebanon, NH 03756-0001
	(603) 650-5922
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacquelyn Nicole Fillingham
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	One Medical Center Drive, Lebanon, New Hampshire
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacquelyn Nicole Fillingham attended and graduated from University Of Southern California Keck School Of Medicine in 2015

NPI Data:

NPI Number: 1528433752
Provider Enumeration Date: 12/14/2015
Last Update Date: 03/22/2022

Medicare PECOS Information:

PECOS PAC ID: 8820395353
Enrollment ID: I20220401000373

Medical Identifiers

Medical identifiers for Jacquelyn Nicole Fillingham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528433752	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	NA95000460 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	087137-23 (New Hampshire)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mary Hitchcock Memorial Hospital	Lebanon, NH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dartmouth-hitchcock Clinic	4183537509	1138

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. Jacquelyn Nicole Fillingham allows following entities to bill medicare on her behalf.

Entity Name	Dartmouth-hitchcock Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442

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. Jacquelyn Nicole Fillingham 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
Jacquelyn Nicole Fillingham, CRNA One Medical Center Drive, Anesthesiology, Lebanon, NH 03756-0001 Ph: () -	Jacquelyn Nicole Fillingham, CRNA One Medical Center Drive, Anesthesiology, Lebanon, NH 03756-0001 Ph: (603) 650-5922

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Lebanon, NH

Patrick C Keane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 215-589-0469
Frederic Jon Schaafsma, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922
Jeffrey C. Horstman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922
Sarah Marie Zack Hewitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Anesthesiology, Lebanon, NH 03756 Phone: 603-650-5922
Mr. Gustaaf Cornelis Van Soestbergen, CRNA MSN MPA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922
Mr. Thomas Reyes Iv, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Drive, Anesthesiology, Lebanon, NH 03756 Phone: 603-650-5922
Mrs. Megan Elizabeth Clouse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Anesthesiology, Lebanon, NH 03756 Phone: 603-650-5922

Jacquelyn Nicole Fillingham, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Lebanon, NH