Mrs Jacklyn Hagg, AGACNP in Idaho Falls, ID - Medicare Nurse Practitioner

Mrs Jacklyn Hagg, AGACNP is a medicare enrolled "Nurse Practitioner" in Idaho Falls, Idaho. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Intensive Care Consortium Inc and her current practice location is 3100 Channing Way, Idaho Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 529-6111.

Mrs Jacklyn Hagg is licensed to practice in Idaho (license number 66593) 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 1861928111.

Contact Information

	Mrs Jacklyn Hagg, AGACNP
	3100 Channing Way, Idaho Falls, ID 83404-7533
	(208) 529-6111
	(208) 529-7021

Map and Direction

Provider's Profile

Full Name	Mrs Jacklyn Hagg
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	3100 Channing Way, Idaho Falls, Idaho
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:

Mrs Jacklyn Hagg graduated from nursing school in 2016

NPI Data:

NPI Number: 1861928111
Provider Enumeration Date: 05/05/2017
Last Update Date: 06/17/2021

Medicare PECOS Information:

PECOS PAC ID: 4183995202
Enrollment ID: I20210923001103

Medical Identifiers

Medical identifiers for Mrs Jacklyn Hagg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861928111	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	AP 60730619 (Washington)	Secondary
363L00000X	Nurse Practitioner	66593 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Eastern Idaho Regional Medical Center	Idaho falls, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intensive Care Consortium Inc	0244269413	376

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 Jacklyn Hagg allows following entities to bill medicare on her behalf.

Entity Name	Idaho Physician Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902841893 PECOS PAC ID: 2163430943 Enrollment ID: O20070208000680

Entity Name	Intensive Care Consortium Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629019062 PECOS PAC ID: 0244269413 Enrollment ID: O20220324002887

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 Jacklyn Hagg 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 Jacklyn Hagg, AGACNP Po Box 277381, Atlanta, GA 30384-7381 Ph: () -	Mrs Jacklyn Hagg, AGACNP 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (208) 529-6111

Reviews and Comments

Nurse Practitioner Nurses in Idaho Falls, ID

Mr. Morgan Tius Garriott, MSN, APRN, CNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 208-542-7021 Fax: 208-542-7371
Mrs. Molly Susan Phillipp, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2065 E 17th St, Suite D, Idaho Falls, ID 83404 Phone: 208-522-0747 Fax: 208-522-9641
Sandy Palma, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2155 Rendezvous Rd, Idaho Falls, ID 83402 Phone: 773-386-1861
James D Brown, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3360 Washington Pkwy Ste 2, Idaho Falls, ID 83404 Phone: 208-932-7024 Fax: 208-904-4447
Salina Thetford, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2001 S Woodruff Ave Ste 4, Idaho Falls, ID 83404 Phone: 208-419-3271
Christopher Leif Edwards, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2330 Coronado St, Idaho Falls, ID 83404 Phone: 208-542-7060
Mr. Nathan Eric Bradfield, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2280 E 25th St, Idaho Falls, ID 83404 Phone: 208-227-2100 Fax: 208-227-2362

Mrs Jacklyn Hagg, AGACNP - Medicare Nurse Practitioner in Idaho Falls, ID