Mrs Amber Jack, APRN in Melbourne, FL - Medicare Nurse Practitioner

Mrs Amber Jack, APRN is a medicare enrolled "Nurse Practitioner" in Melbourne, Florida. Her current practice location is 6619 N Wickham Rd, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 259-9500.

Mrs Amber Jack is licensed to practice in Florida (license number APRN11017398) 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 1992445951.

Contact Information

	Mrs Amber Jack, APRN
	6619 N Wickham Rd, Melbourne, FL 32940-2006
	(321) 259-9500
	(321) 253-1777

Map and Direction

Provider's Profile

Full Name	Mrs Amber Jack
Gender	Female
Speciality	Nurse Practitioner
Location	6619 N Wickham Rd, Melbourne, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992445951
Provider Enumeration Date: 03/29/2022
Last Update Date: 03/31/2023

Medicare PECOS Information:

PECOS PAC ID: 3072986645
Enrollment ID: I20230301001281

Medical Identifiers

Medical identifiers for Mrs Amber Jack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992445951	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APRN11017398 (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. Mrs Amber Jack allows following entities to bill medicare on her behalf.

Entity Name	Suntree Internal Medicine, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700947884 PECOS PAC ID: 1951378694 Enrollment ID: O20040913001133

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. Mrs Amber 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
Mrs Amber Jack, APRN 6619 N Wickham Rd, Melbourne, FL 32940-2006 Ph: () -	Mrs Amber Jack, APRN 6619 N Wickham Rd, Melbourne, FL 32940-2006 Ph: (321) 259-9500

Reviews and Comments

Nurse Practitioner Nurses in Melbourne, FL

Mrs. Dawn P Hamel, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2290 W Eau Gallie Blvd, Melbourne, FL 32935 Phone: 321-435-1505 Fax: 321-426-7446
Mrs. Stephanie Louise Battaglini, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St Ste 102, Melbourne, FL 32901 Phone: 321-434-3452 Fax: 321-434-3456
Tiffani Davidson, APRN, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 2e, Melbourne, FL 32901 Phone: 321-361-5564
William Brandon Evans, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771
Stacyann Stephens, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2626 Florencia Pl, Melbourne, FL 32940 Phone: 305-338-5141
Cynthia Parsons Hall, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1335 Valentine St, Melbourne, FL 32901 Phone: 321-586-5444 Fax: 321-586-5444
Michele Anne Mccarthy-lavish, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr, Melbourne, FL 32901 Phone: 321-549-0752 Fax: 321-952-2330

Mrs Amber Jack, APRN - Medicare Nurse Practitioner in Melbourne, FL