Jacquelyn Pichette, CPNP-PC - Medicare Nurse Practitioner in Gilbert, AZ

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Jacquelyn Pichette, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Gilbert, Arizona. Her current practice location is 1430 N Cooper Rd, Suite 101, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 633-1111.

Jacquelyn Pichette is licensed to practice in Arizona (license number AP7779) 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 1891161055.

Contact Information

Jacquelyn Pichette, CPNP-PC
1430 N Cooper Rd, Suite 101,
Gilbert, AZ 85233-1242
(480) 633-1111
Not Available

Map and Direction




Provider's Profile

Full NameJacquelyn Pichette
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location1430 N Cooper Rd, Gilbert, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891161055
  • Provider Enumeration Date: 08/11/2015
  • Last Update Date: 08/11/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9830470954
  • Enrollment ID: I20170104001550

Medical Identifiers

Medical identifiers for Jacquelyn Pichette such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891161055NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics AP7779 (Arizona)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. Jacquelyn Pichette allows following entities to bill medicare on her behalf.
Entity NameBanner Primary Care Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417238908
PECOS PAC ID: 6406020155
Enrollment ID: O20111115000898
Entity NameBanner Childrens Banner Health Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407191216
PECOS PAC ID: 2466697735
Enrollment ID: O20130315000131

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 Pichette 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
Jacquelyn Pichette, CPNP-PC
1430 N Cooper Rd, Suite 101,
Gilbert, AZ 85233-1242

Ph: (480) 633-1111		Jacquelyn Pichette, CPNP-PC
1430 N Cooper Rd, Suite 101,
Gilbert, AZ 85233-1242

Ph: (480) 633-1111

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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