Mrs Jaclyn Marie Griffin, NP is a medicare enrolled "Surgery - Vascular Surgery" in Tripler Army Medical Center, Hawaii. Her current practice location is
1 Jarrett White Rd, Tripler Army Medical Center, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 433-3474.
Mrs Jaclyn Marie Griffin is licensed to practice in Hawaii (license number APRN-715) 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 1124074919.
Provider's Profile
Full Name | Mrs Jaclyn Marie Griffin |
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Gender | Female |
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Speciality | Surgery - Vascular Surgery |
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Location | 1 Jarrett White Rd, Tripler Army Medical Center, Hawaii |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124074919
- Provider Enumeration Date: 05/25/2006
- Last Update Date: 02/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658611959
- Enrollment ID: I20190325000762
Medical Identifiers
Medical identifiers for Mrs Jaclyn Marie Griffin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124074919 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APRN-715 (Hawaii) | Secondary |
2086S0129X | Surgery - Vascular Surgery | APRN-715 (Hawaii) | Primary |
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 Marie Griffin 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 Jaclyn Marie Griffin, NP 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 Ph: (808) 433-0433 | Mrs Jaclyn Marie Griffin, NP 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 Ph: (808) 433-3474 |
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