Jessica Urban-jack, APRN in Hartford, CT - Medicare Nurse Practitioner

Jessica Urban-jack, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Hartford, Connecticut. Her current practice location is 80 Seymour St, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 972-5022.

Jessica Urban-jack is licensed to practice in Connecticut (license number 006504) 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 1225492507.

Contact Information

	Jessica Urban-jack, APRN
	80 Seymour St, Hartford, CT 06102-8000
	(860) 972-5022
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica Urban-jack
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	80 Seymour St, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225492507
Provider Enumeration Date: 04/12/2016
Last Update Date: 08/18/2022

Medicare PECOS Information:

PECOS PAC ID: 7810288925
Enrollment ID: I20230103002286

Medical Identifiers

Medical identifiers for Jessica Urban-jack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225492507	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	006504 (Connecticut)	Secondary
363LF0000X	Nurse Practitioner - Family	006504 (Connecticut)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	006504 (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. Jessica Urban-jack allows following entities to bill medicare on her behalf.

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752

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. Jessica Urban-jack 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
Jessica Urban-jack, APRN 80 Seymour St, Hartford, CT 06102-8000 Ph: (860) 972-5022	Jessica Urban-jack, APRN 80 Seymour St, Hartford, CT 06102-8000 Ph: (860) 972-5022

Reviews and Comments

Nurse Practitioner Nurses in Hartford, CT

Caroline Clara Regan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 185 Asylum St, Hartford, CT 06103 Phone: 860-215-2117
Mrs. Brooke M P Chaves, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-4680
Jocelyn Calabro, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-4000
Michael Brian Banik, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000
Deborah Mcgrath, APRN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Hartford, CT 06105 Phone: 860-714-4786
Marlo Derla, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-0000
Audrey Bakanauskas, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Cardiology, Hartford, CT 06105 Phone: 860-714-4161 Fax: 860-714-8001

Jessica Urban-jack, APRN - Medicare Nurse Practitioner in Hartford, CT