Jessie Jean Laack, DNP, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Washoe Valley, Nevada. Her current practice location is
100 Lewers Creek Rd, Washoe Valley, Nevada. You can reach out to her office (for appointments etc.) via phone at
(775) 241-3616.
Jessie Jean Laack is licensed to practice in Nevada (license number APRN002582) 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 1811410871.
Provider's Profile
| Full Name | Jessie Jean Laack |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 100 Lewers Creek Rd, Washoe Valley, Nevada |
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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: 1811410871
- Provider Enumeration Date: 07/21/2017
- Last Update Date: 05/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648542043
- Enrollment ID: I20170820000000
Medical Identifiers
Medical identifiers for Jessie Jean Laack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811410871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN002582 (Nevada) | 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. Jessie Jean Laack allows following entities to bill medicare on her behalf.
| Entity Name | Carson Medical Group Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780694620
PECOS PAC ID: 4183520778
Enrollment ID: O20031212000509 |
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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. Jessie Jean Laack 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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Jessie Jean Laack, DNP, APRN, FNP-C
100 Lewers Creek Rd,
Washoe Valley, NV 89704-9527
Ph: (775) 241-3616 | Jessie Jean Laack, DNP, APRN, FNP-C
100 Lewers Creek Rd,
Washoe Valley, NV 89704-9527
Ph: (775) 241-3616 |
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