Jakell Burgess, FNP in Waterbury, CT - Medicare Nurse Practitioner

Jakell Burgess, FNP is a medicare enrolled "Nurse Practitioner - Family" in Waterbury, Connecticut. Her current practice location is 56 Franklin St, Waterbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 709-6004.

Jakell Burgess is licensed to practice in Connecticut (license number 7077) 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 1124540174.

Contact Information

	Jakell Burgess, FNP
	56 Franklin St, Waterbury, CT 06706-1253
	(203) 709-6004
	Not Available

Map and Direction

Provider's Profile

Full Name	Jakell Burgess
Gender	Female
Speciality	Nurse Practitioner - Family
Location	56 Franklin St, Waterbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124540174
Provider Enumeration Date: 07/12/2017
Last Update Date: 07/12/2017

Medicare PECOS Information:

PECOS PAC ID: 8022381466
Enrollment ID: I20170906001677

Medical Identifiers

Medical identifiers for Jakell Burgess such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124540174	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	7077 (Connecticut)	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. Jakell Burgess allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602

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. Jakell Burgess 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
Jakell Burgess, FNP 9215 Town Rdg, Middletown, CT 06457-6554 Ph: () -	Jakell Burgess, FNP 56 Franklin St, Waterbury, CT 06706-1253 Ph: (203) 709-6004

Reviews and Comments

Nurse Practitioner Nurses in Waterbury, CT

Charis Wipfler, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 56 Franklin St, Waterbury, CT 06706 Phone: 860-709-6140
Krista Phelan-wright, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 276 Highland Ave Ste 2a, Waterbury, CT 06708 Phone: 203-819-7220
Denise Pratt, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 134 Grandview Ave, Suite 210, Waterbury, CT 06708 Phone: 203-754-2535 Fax: 203-756-9921
Mr. Elijah Caldwell, LCSW Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 60 N Main St, 3rd Flr, Waterbury, CT 06702 Phone: 203-437-8896
Mrs. Nancy Lou Kline, ANP/APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 133 Scovill Street-waterbury Va Community Based Clinic, #203, Waterbury, CT 06706 Phone: 203-465-5292 Fax: 203-465-5296
Monica Hughes, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 95 Scovill St, 3rd Floor, Waterbury, CT 06706 Phone: 203-709-3800 Fax: 203-709-3880
Steven Paul Jeske, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 276 Highland Ave Ste A2, Waterbury, CT 06708 Phone: 203-819-7220 Fax: 203-819-7270

Jakell Burgess, FNP - Medicare Nurse Practitioner in Waterbury, CT