Mrs Jacklyn Kay Stanley, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Clay City, Illinois. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice County Of Clay and her current practice location is
939 Sunset Rd Sw, Clay City, Illinois. You can reach out to her office (for appointments etc.) via phone at
(686) 662-2131.
Mrs Jacklyn Kay Stanley is licensed to practice in Illinois (license number 209024537) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1073285482.
Provider's Profile
Full Name | Mrs Jacklyn Kay Stanley |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 3 Years |
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Location | 939 Sunset Rd Sw, Clay City, Illinois |
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Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Jacklyn Kay Stanley graduated from nursing school in 2021
NPI Data:
- NPI Number: 1073285482
- Provider Enumeration Date: 10/04/2021
- Last Update Date: 03/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 1153717715
- Enrollment ID: I20220407000209
Medical Identifiers
Medical identifiers for Mrs Jacklyn Kay Stanley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073285482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209024537 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
County Of Clay | 0042101982 | 27 |
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 Kay Stanley allows following entities to bill medicare on her behalf.
Entity Name | County Of Clay |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811946411 PECOS PAC ID: 0042101982 Enrollment ID: O20040322000969 |
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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 Kay Stanley 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 Kay Stanley, APRN 939 Sunset Rd Sw, Clay City, IL 62824-1113 Ph: (618) 844-3224 | Mrs Jacklyn Kay Stanley, APRN 939 Sunset Rd Sw, Clay City, IL 62824-1113 Ph: (686) 662-2131 |
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