Mrs Jacqueline Ann Kent, RPA-C in Brockport, NY

Mrs Jacqueline Ann Kent, RPA-C is a medicare enrolled "Physician Assistant" in Brockport, New York. Her current practice location is 4079 Lake Rd N, Brockport, New York. You can reach out to her office (for appointments etc.) via phone at (585) 637-0151.

Mrs Jacqueline Ann Kent is licensed to practice in New York (license number 006742) 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 1568454437.

Contact Information

	Mrs Jacqueline Ann Kent, RPA-C
	4079 Lake Rd N, Brockport, NY 14420-1517
	(585) 637-0151
	(585) 637-0562

Map and Direction

Provider's Profile

Full Name	Mrs Jacqueline Ann Kent
Gender	Female
Speciality	Physician Assistant
Location	4079 Lake Rd N, Brockport, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568454437
Provider Enumeration Date: 08/17/2005
Last Update Date: 07/05/2023

Medicare PECOS Information:

PECOS PAC ID: 2466346457
Enrollment ID: I20040211000125

Medical Identifiers

Medical identifiers for Mrs Jacqueline Ann Kent such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568454437	NPI	-	NPPES
2605498	Medicaid	NY
000925083002	Other	NY	COMMUNITY BLUE / WNY
109969BF	Other	NY	PREFERRED CARE
P019006742	Other	NY	BLUE CHOICE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	6742 (New York)	Secondary
363A00000X	Physician Assistant	006742 (New York)	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 Jacqueline Ann Kent 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 Jacqueline Ann Kent, RPA-C 4079 Lake Rd N, Brockport, NY 14420-1517 Ph: (585) 637-0151	Mrs Jacqueline Ann Kent, RPA-C 4079 Lake Rd N, Brockport, NY 14420-1517 Ph: (585) 637-0151

Reviews and Comments

Physician Assistant Nurses in Brockport, NY

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Mrs Jacqueline Ann Kent, RPA-C - Medicare Physician Assistant in Brockport, NY