Michele D Jack, RN - Registered Nurse in Bradford, PA

Michele D Jack, RN is a Registered Nurse based in Bradford, Pennsylvania. Michele D Jack is licensed to practice in Pennsylvania (license number RN524462L) and her current practice location is 20 School St, Bradford, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (814) 362-7466.

NPI number for Michele D Jack is 1033314331 and her current mailing address is 17028 Route 6, Smethport, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033314331.

Contact Information

Michele D Jack, RN
20 School St,
Bradford, PA 16701-1257
(814) 362-7466
Not Available

Map and Direction




Provider's Profile

Full NameMichele D Jack
GenderFemale
SpecialityRegistered Nurse
Location20 School St, Bradford, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033314331
  • Provider Enumeration Date: 06/18/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Michele D Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033314331NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN524462L (Pennsylvania)Primary

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. Michele D Jack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michele D Jack, RN
17028 Route 6,
Smethport, PA 16749-4024

Ph: (814) 887-2229
Michele D Jack, RN
20 School St,
Bradford, PA 16701-1257

Ph: (814) 362-7466

Reviews and Comments


Registered Nurse Nurses in Bradford, PA

Thomas Paul Hurrle, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
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Phone: 814-362-7466    
Joy Lynn Confer, RN
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Medicare: Not Enrolled in Medicare
Practice Location: 1 Futures Way, Bradford, PA 16701
Phone: 814-368-4101    Fax: 814-368-5774
Lindsay Nicole Garland, RN
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Medicare: Not Enrolled in Medicare
Practice Location: 1223 E Main St, Bradford, PA 16701
Phone: 814-362-7466    
Cynthia Simms, RN, CDE
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Medicare: Not Enrolled in Medicare
Practice Location: 116 Interstate Pkwy, Bradford, PA 16701
Phone: 814-368-8717    Fax: 814-368-2085
Jamie Glover, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 20 School St, Bradford, PA 16701
Phone: 814-362-7466    
Joyce Kratts, RN, WOCN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 20 School St, Bradford, PA 16701
Phone: 814-362-7466    Fax: 814-362-9803

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.