Mrs Jaclyn Nicole Bland, PA-C - Medicare Nurse Practitioner in Nutter Fort, WV

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Mrs Jaclyn Nicole Bland, PA-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Nutter Fort, West Virginia. Her current practice location is 200 Route 98 W St, 310, Nutter Fort, West Virginia. You can reach out to her office (for appointments etc.) via phone at (302) 624-0980.

Mrs Jaclyn Nicole Bland is licensed to practice in West Virginia (license number 01038) 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 1831308527.

Contact Information

Mrs Jaclyn Nicole Bland, PA-C
200 Route 98 W St, 310,
Nutter Fort, WV 26301-4385
(302) 624-0980
(304) 624-0095

Map and Direction




Provider's Profile

Full NameMrs Jaclyn Nicole Bland
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location200 Route 98 W St, Nutter Fort, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831308527
  • Provider Enumeration Date: 05/21/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8729069950
  • Enrollment ID: I20040525001021

Medical Identifiers

Medical identifiers for Mrs Jaclyn Nicole Bland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831308527NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 01038 (West Virginia)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 Nicole Bland 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 Nicole Bland, PA-C
200 Route 98 W St, 310,
Nutter Fort, WV 26301-4385

Ph: (302) 624-0980		Mrs Jaclyn Nicole Bland, PA-C
200 Route 98 W St, 310,
Nutter Fort, WV 26301-4385

Ph: (302) 624-0980

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Nurse Practitioner Nurses in Nutter Fort, WV


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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.

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