Jennifer Elizabeth Vicknair, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Monticello, Arkansas. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Youngs Professional Services Llc, Arkansas Health Group, Rural Health Pain Management Llc and her current practice location is
778 Scogin Dr, Monticello, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 367-2411.
Jennifer Elizabeth Vicknair is licensed to practice in Louisiana (license number AP04334) 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 1306861398.
Provider's Profile
Full Name | Jennifer Elizabeth Vicknair |
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Gender | Female |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 21 Years |
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Location | 778 Scogin Dr, Monticello, Arkansas |
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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:
- Jennifer Elizabeth Vicknair graduated from nursing school in 2003
NPI Data:
- NPI Number: 1306861398
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 01/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547155038
- Enrollment ID: I20231129001712
Medical Identifiers
Medical identifiers for Jennifer Elizabeth Vicknair such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306861398 | NPI | - | NPPES |
1179272 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | AP04334 (Louisiana) | Primary |
163W00000X | Registered Nurse | RN087113 (Louisiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | C003168 (Arkansas) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Youngs Professional Services Llc | 2163524992 | 148 |
Arkansas Health Group | 7911802079 | 517 |
Rural Health Pain Management Llc | 8921410341 | 18 |
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. Jennifer Elizabeth Vicknair allows following entities to bill medicare on her behalf.
Entity Name | Arkansas Health Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508800962 PECOS PAC ID: 7911802079 Enrollment ID: O20040331000754 |
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Entity Name | Youngs Professional Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20200218000624 |
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Entity Name | Capital Anesthesia Solutions Of Arkansas, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174125876 PECOS PAC ID: 5395159313 Enrollment ID: O20210202001530 |
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Entity Name | Rural Health Pain Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265039556 PECOS PAC ID: 8921410341 Enrollment ID: O20220121002281 |
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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. Jennifer Elizabeth Vicknair 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 |
Jennifer Elizabeth Vicknair, CRNA 443 Fiddlers Creek Dr, West Monroe, LA 71291-1774 Ph: (318) 381-2130 | Jennifer Elizabeth Vicknair, CRNA 778 Scogin Dr, Monticello, AR 71655-5729 Ph: (870) 367-2411 |
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