Mrs Jaclyn Marie Mignella, APRN in Daytona Beach, FL

Mrs Jaclyn Marie Mignella, APRN is a medicare enrolled "Nurse Practitioner - Family" in Daytona Beach, Florida. Her current practice location is 305 Memorial Medical Pkwy Ste 209, Daytona Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 231-3520.

Mrs Jaclyn Marie Mignella is licensed to practice in Florida (license number 11028116) 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 1124582085.

Contact Information

	Mrs Jaclyn Marie Mignella, APRN
	305 Memorial Medical Pkwy Ste 209, Daytona Beach, FL 32117-5169
	(386) 231-3520
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jaclyn Marie Mignella
Gender	Female
Speciality	Nurse Practitioner - Family
Location	305 Memorial Medical Pkwy Ste 209, Daytona Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124582085
Provider Enumeration Date: 01/24/2019
Last Update Date: 09/20/2023

Medicare PECOS Information:

PECOS PAC ID: 2961850326
Enrollment ID: I20231122002397

Medical Identifiers

Medical identifiers for Mrs Jaclyn Marie Mignella such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124582085	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WR0006X	Registered Nurse - Registered Nurse First Assistant	RN9277984 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	11028116 (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 Jaclyn Marie Mignella allows following entities to bill medicare on her behalf.

Entity Name	Memorial Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922115914 PECOS PAC ID: 9739081142 Enrollment ID: O20040730000409

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 Mignella 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 Mignella, APRN 305 Memorial Medical Pkwy Ste 209, Daytona Beach, FL 32117-5169 Ph: (386) 231-3520	Mrs Jaclyn Marie Mignella, APRN 305 Memorial Medical Pkwy Ste 209, Daytona Beach, FL 32117-5169 Ph: (386) 231-3520

Reviews and Comments

Nurse Practitioner Nurses in Daytona Beach, FL

Ashley Gillette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Milton Rd, Daytona Beach, FL 32118 Phone: 970-260-0885
Brittany C Gaskin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1845 Holsonback Dr, Daytona Beach, FL 32117 Phone: 386-274-0500
Charles Wright, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-238-3200 Fax: 386-238-3264
Bruce Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118 Phone: 386-767-9544
Cloressa Dizney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4542 Fax: 386-425-7705
Gena Genovese Brennan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-353-7633 Fax: 386-615-4105
Mrs. Krystal Marie Disantis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 786-738-9144 Fax: 877-245-1597

Mrs Jaclyn Marie Mignella, APRN - Medicare Nurse Practitioner in Daytona Beach, FL