Jacquolyn Jo Early, APRN is a medicare enrolled "Nurse Practitioner - Family" in Marianna, Arkansas. Her current practice location is
530 Atkins Blvd, Marianna, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 295-5225.
Jacquolyn Jo Early is licensed to practice in Arkansas (license number A01261) 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 1134257967.
Provider's Profile
Full Name | Jacquolyn Jo Early |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 530 Atkins Blvd, Marianna, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134257967
- Provider Enumeration Date: 03/01/2007
- Last Update Date: 01/31/2020
Medicare PECOS Information:
- PECOS PAC ID: 2062462682
- Enrollment ID: I20050131000837
Medical Identifiers
Medical identifiers for Jacquolyn Jo Early such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134257967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | A01261 (Arkansas) | 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. Jacquolyn Jo Early allows following entities to bill medicare on her behalf.
Entity Name | Lee County Cooperative Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669480836 PECOS PAC ID: 8921917204 Enrollment ID: O20081213000190 |
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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. Jacquolyn Jo Early 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 |
Jacquolyn Jo Early, APRN 530 Atkins Blvd, Marianna, AR 72360-2198 Ph: (870) 295-5225 | Jacquolyn Jo Early, APRN 530 Atkins Blvd, Marianna, AR 72360-2198 Ph: (870) 295-5225 |
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