Mrs Jaclyn Iris Moss, FNP B-C - Medicare Nurse Practitioner in Memphis, TN

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Mrs Jaclyn Iris Moss, FNP B-C is a medicare enrolled "Nurse Practitioner - Family" in Memphis, Tennessee. She graduated from nursing school in 2008 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeastern Emergency Physicians Llc and her current practice location is 5482 Fiesta Dr, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 831-1358.

Mrs Jaclyn Iris Moss is licensed to practice in Tennessee (license number 14186) 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 1568791259.

Contact Information

Mrs Jaclyn Iris Moss, FNP B-C
5482 Fiesta Dr,
Memphis, TN 38120-2827
(901) 831-1358
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jaclyn Iris Moss
GenderFemale
SpecialityNurse Practitioner
Experience17 Years
Location5482 Fiesta Dr, Memphis, Tennessee
Accepts Medicare AssignmentsYes. 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 Jaclyn Iris Moss graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1568791259
  • Provider Enumeration Date: 12/09/2009
  • Last Update Date: 03/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1254500804
  • Enrollment ID: I20110816000505

Medical Identifiers

Medical identifiers for Mrs Jaclyn Iris Moss such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568791259NPI-NPPES
04680711MedicaidMS
1524904MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 14186 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Emergency Physicians Llc2466364997516

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 Jaclyn Iris Moss allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Emergency Services P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669414264
PECOS PAC ID: 6204730195
Enrollment ID: O20031121000687
Entity NameEmergency Coverage Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053351593
PECOS PAC ID: 8820983430
Enrollment ID: O20040220000755
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997
Entity NameMid-south Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780017228
PECOS PAC ID: 4587891981
Enrollment ID: O20131210001338

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 Jaclyn Iris Moss 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 AddressPractice Location Address
Mrs Jaclyn Iris Moss, FNP B-C
5482 Fiesta Dr,
Memphis, TN 38120-2827

Ph: (901) 831-1358		Mrs Jaclyn Iris Moss, FNP B-C
5482 Fiesta Dr,
Memphis, TN 38120-2827

Ph: (901) 831-1358

Reviews and Comments


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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).

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