Kathryn E Jack, APRN in Meriden, CT - Medicare Nurse Practitioner

Kathryn E Jack, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Meriden, Connecticut. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Connecticut Gi Pc and her current practice location is 455 Lewis Ave, Suite 106, Meriden, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 886-0036.

Kathryn E Jack is licensed to practice in Connecticut (license number 002455) 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 1265456347.

Contact Information

	Kathryn E Jack, APRN
	455 Lewis Ave, Suite 106, Meriden, CT 06451-2121
	(203) 886-0036
	(203) 886-0072

Map and Direction

Provider's Profile

Full Name	Kathryn E Jack
Gender	Female
Speciality	Nurse Practitioner
Experience	24 Years
Location	455 Lewis Ave, Meriden, Connecticut
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:

Kathryn E Jack graduated from nursing school in 2000

NPI Data:

NPI Number: 1265456347
Provider Enumeration Date: 07/26/2006
Last Update Date: 11/05/2013

Medicare PECOS Information:

PECOS PAC ID: 8426054479
Enrollment ID: I20061013000402

Medical Identifiers

Medical identifiers for Kathryn E Jack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265456347	NPI	-	NPPES
004219491	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	002455 (Connecticut)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	002455 (Connecticut)	Primary
363LF0000X	Nurse Practitioner - Family	002455 (Connecticut)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Connecticut Gi Pc	9830110758	192

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. Kathryn E Jack allows following entities to bill medicare on her behalf.

Entity Name	Connecticut Gi Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023124625 PECOS PAC ID: 9830110758 Enrollment ID: O20070112000011

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. Kathryn E 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
Kathryn E Jack, APRN 2139 Silas Deane Hwy, Rocky Hill, CT 06067-2336 Ph: (860) 257-4131	Kathryn E Jack, APRN 455 Lewis Ave, Suite 106, Meriden, CT 06451-2121 Ph: (203) 886-0036

Reviews and Comments

Nurse Practitioner Nurses in Meriden, CT

Marta Fedorko, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 435 Lewis Ave, Meriden, CT 06451 Phone: 203-694-8200
Jeannie Mcintosh, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 134 State St, Meriden, CT 06450 Phone: 203-237-2229 Fax: 203-686-1677
Jessica M. Martin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 482 S Broad St, Meriden, CT 06450 Phone: 203-439-4485
Felistas Mazhandu, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53 Church Hill Chase, Meriden, CT 06450 Phone: 860-797-0572
Miss Itoro Joseph Etim, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 816 Broad St, Meriden, CT 06450 Phone: 203-238-1125
Ingrid Teixeira Furchi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 816 Broad St, Meriden, CT 06450 Phone: 203-238-1125
Mrs. Jennie Christine Gore, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 455 Lewis Ave Ste 208, Meriden, CT 06451 Phone: 203-238-2691

Kathryn E Jack, APRN - Medicare Nurse Practitioner in Meriden, CT