Mary Grace Jacon, FNP in Rensselaer, NY - Medicare Nurse Practitioner

Mary Grace Jacon, FNP is a medicare enrolled "Nurse Practitioner - Family" in Rensselaer, New York. Her current practice location is 2 Empire Dr, Suite 100, Rensselaer, New York. You can reach out to her office (for appointments etc.) via phone at (518) 286-4899.

Mary Grace Jacon is licensed to practice in New York (license number 330909) 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 1699736520.

Contact Information

	Mary Grace Jacon, FNP
	2 Empire Dr, Suite 100, Rensselaer, NY 12144-5730
	(518) 286-4899
	(518) 286-4859

Map and Direction

Provider's Profile

Full Name	Mary Grace Jacon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2 Empire Dr, Rensselaer, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699736520
Provider Enumeration Date: 03/30/2006
Last Update Date: 08/22/2019

Medicare PECOS Information:

PECOS PAC ID: 6406971753
Enrollment ID: I20100910000240

Medical Identifiers

Medical identifiers for Mary Grace Jacon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699736520	NPI	-	NPPES
02251747	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	330909 (New York)	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. Mary Grace Jacon allows following entities to bill medicare on her behalf.

Entity Name	Samaritan Hospital Of Troy, New York
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043267727 PECOS PAC ID: 6507770070 Enrollment ID: O20031118000782

Entity Name	St. Peter's Health Partners Medical Associates, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750626834 PECOS PAC ID: 6103061189 Enrollment ID: O20130321000567

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. Mary Grace Jacon 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
Mary Grace Jacon, FNP Po Box 689, Troy, NY 12181-0689 Ph: (518) 268-5000	Mary Grace Jacon, FNP 2 Empire Dr, Suite 100, Rensselaer, NY 12144-5730 Ph: (518) 286-4899

Reviews and Comments

Nurse Practitioner Nurses in Rensselaer, NY

Mrs. Lindsay Bishop, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Empire Dr, Rensselaer, NY 12144 Phone: 518-286-4960
Kristin Marie Cooke, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 279 Troy Rd, Rensselaer, NY 12144 Phone: 518-286-1922
Nina Theresa Statile, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Empire Dr Ste 100, Rensselaer, NY 12144 Phone: 518-286-4899
Luz Milagros Kelly, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 279 Troy Rd, Rensselaer, NY 12144 Phone: 518-286-1922 Fax: 518-283-3225
Alexandria Adele Sanchez, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Empire Dr Ste 100, Rensselaer, NY 12144 Phone: 518-286-4899 Fax: 518-286-4859
Carole A Rumberger, NPP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 Washington Ave, Rensselaer, NY 12144 Phone: 518-980-9810 Fax: 518-980-9818
Elizabeth Catherine Flaherty, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 53 Columbia Street, Rensselaer, NY 12144 Phone: 518-434-2526 Fax: 518-434-2595

Mary Grace Jacon, FNP - Medicare Nurse Practitioner in Rensselaer, NY