Mrs Jacqueline Laraway, ACNP-BC in Marion, VA

Mrs Jacqueline Laraway, ACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Marion, Virginia. She graduated from nursing school in 1996 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeastern Intensivist Services Pc and her current practice location is 245 Medical Park Dr, First Floor, Marion, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 378-1341.

Mrs Jacqueline Laraway is licensed to practice in Virginia (license number 0024167734) 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 1093749343.

Contact Information

	Mrs Jacqueline Laraway, ACNP-BC
	245 Medical Park Dr, First Floor, Marion, VA 24354-1100
	(276) 378-1341
	(276) 378-1205

Map and Direction

Provider's Profile

Full Name	Mrs Jacqueline Laraway
Gender	Female
Speciality	Nurse Practitioner
Experience	28 Years
Location	245 Medical Park Dr, Marion, Virginia
Accepts Medicare Assignments	Yes. 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 Jacqueline Laraway graduated from nursing school in 1996

NPI Data:

NPI Number: 1093749343
Provider Enumeration Date: 07/11/2006
Last Update Date: 02/15/2017

Medicare PECOS Information:

PECOS PAC ID: 0143224238
Enrollment ID: I20080721000645

Medical Identifiers

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

Identifier	Type	State	Issuer
1093749343	NPI	-	NPPES
1093749343	Medicaid	VA
P00681428	Other	VA	RR MEDICARE
1507124	Medicaid	TN
DF7910	Other	VA	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	0024167734 (Virginia)	Primary
363LA2100X	Nurse Practitioner - Acute Care	13443 (Tennessee)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Twin County Regional Hospital	Galax, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Intensivist Services Pc	9335152107	210

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 Jacqueline Laraway allows following entities to bill medicare on her behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336

Entity Name	Southeastern Intensivist Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912942665 PECOS PAC ID: 9335152107 Enrollment ID: O20190131001122

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 Laraway 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 Laraway, ACNP-BC 245 Medical Park Dr, First Floor, Marion, VA 24354-1100 Ph: (276) 378-1341	Mrs Jacqueline Laraway, ACNP-BC 245 Medical Park Dr, First Floor, Marion, VA 24354-1100 Ph: (276) 378-1341

Reviews and Comments

Nurse Practitioner Nurses in Marion, VA

Mrs. Karen F Kiser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 Snider St, Marion, VA 24354 Phone: 276-783-5400 Fax: 276-783-5521
Mrs. Norah Ann Nutter, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1616 N Main St Ste 100b, Marion, VA 24354 Phone: 276-378-3920 Fax: 276-378-3921
Pamela White Ellis, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Francis Marion Ln, Marion, VA 24354 Phone: 276-781-7450 Fax: 276-781-7455
Mrs. Meredith Ashley Oldham Cullop, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Broad St, Marion, VA 24354 Phone: 276-781-5900 Fax: 276-782-9153
Jamie Jones Hayden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 134 Willow Springs Rd, Marion, VA 24354 Phone: 276-780-6004
Dayle H Zanzinger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1020 Terrace Dr, Suite 200, Marion, VA 24354 Phone: 276-783-7167 Fax: 276-783-6432

Mrs Jacqueline Laraway, ACNP-BC - Medicare Nurse Practitioner in Marion, VA