Jacquelyn Snipes Thames, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mountain Brk, Alabama. Her current practice location is
2654 Beverly Dr, Mountain Brk, Alabama. You can reach out to her office (for appointments etc.) via phone at
(334) 220-9717.
Jacquelyn Snipes Thames is licensed to practice in Maine (license number RNA243036) 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 1528736675.
Provider's Profile
| Full Name | Jacquelyn Snipes Thames |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 2654 Beverly Dr, Mountain Brk, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528736675
- Provider Enumeration Date: 09/02/2021
- Last Update Date: 06/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385188515
- Enrollment ID: I20240628002524
Medical Identifiers
Medical identifiers for Jacquelyn Snipes Thames such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528736675 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | RNA243036 (Maine) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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 Snipes Thames allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629078712
PECOS PAC ID: 6103737812
Enrollment ID: O20040217000943 |
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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 Snipes Thames 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 |
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Jacquelyn Snipes Thames, DNP, CRNA
2654 Beverly Dr,
Mountain Brk, AL 35223-1118
Ph: () - | Jacquelyn Snipes Thames, DNP, CRNA
2654 Beverly Dr,
Mountain Brk, AL 35223-1118
Ph: (334) 220-9717 |
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