Miss Jacqueline Elizabeth Nurse, NP in Lake Mary, FL

Miss Jacqueline Elizabeth Nurse, NP is a medicare enrolled "Nurse Practitioner" in Lake Mary, Florida. Her current practice location is 652 Canyon Stone Cir, Lake Mary, Florida. You can reach out to her office (for appointments etc.) via phone at (772) 333-4298.

Miss Jacqueline Elizabeth Nurse is licensed to practice in Florida (license number ARNP2784612) 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 1689106254.

Contact Information

	Miss Jacqueline Elizabeth Nurse, NP
	652 Canyon Stone Cir, Lake Mary, FL 32746-3978
	(772) 333-4298
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Jacqueline Elizabeth Nurse
Gender	Female
Speciality	Nurse Practitioner
Location	652 Canyon Stone Cir, Lake Mary, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689106254
Provider Enumeration Date: 04/01/2017
Last Update Date: 04/01/2017

Medicare PECOS Information:

PECOS PAC ID: 1951678929
Enrollment ID: I20170522002901

Medical Identifiers

Medical identifiers for Miss Jacqueline Elizabeth Nurse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689106254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	ARNP2784612 (Florida)	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. Miss Jacqueline Elizabeth Nurse allows following entities to bill medicare on her behalf.

Entity Name	Joseph J Katta Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427090224 PECOS PAC ID: 0244311553 Enrollment ID: O20080528000559

Entity Name	Ultra Health Providers Of Florida
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528549490 PECOS PAC ID: 9335487255 Enrollment ID: O20190219000020

Entity Name	Episource Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225390289 PECOS PAC ID: 7911009451 Enrollment ID: O20200515002219

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. Miss Jacqueline Elizabeth Nurse 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
Miss Jacqueline Elizabeth Nurse, NP 652 Canyon Stone Cir, Lake Mary, FL 32746-3978 Ph: (772) 333-4298	Miss Jacqueline Elizabeth Nurse, NP 652 Canyon Stone Cir, Lake Mary, FL 32746-3978 Ph: (772) 333-4298

Reviews and Comments

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Miss Jacqueline Elizabeth Nurse, NP - Medicare Nurse Practitioner in Lake Mary, FL