Mrs Jacqulyne S Booker, ANP in Bloomington, IN

Mrs Jacqulyne S Booker, ANP is a medicare enrolled "Nurse Practitioner" in Bloomington, Indiana. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Indiana University Health Southern Indiana Physicians Llc and her current practice location is 995 S Clarizz Blvd, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 353-3060.

Mrs Jacqulyne S Booker is licensed to practice in Indiana (license number 71001863) 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 1316991557.

Contact Information

	Mrs Jacqulyne S Booker, ANP
	995 S Clarizz Blvd, Bloomington, IN 47401-5588
	(812) 353-3060
	(812) 353-3070

Map and Direction

Provider's Profile

Full Name	Mrs Jacqulyne S Booker
Gender	Female
Speciality	Nurse Practitioner
Experience	20 Years
Location	995 S Clarizz Blvd, Bloomington, Indiana
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 Jacqulyne S Booker graduated from nursing school in 2004

NPI Data:

NPI Number: 1316991557
Provider Enumeration Date: 05/20/2006
Last Update Date: 12/02/2020

Medicare PECOS Information:

PECOS PAC ID: 4880917145
Enrollment ID: I20141218000632

Medical Identifiers

Medical identifiers for Mrs Jacqulyne S Booker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316991557	NPI	-	NPPES
71001863	Other	IN	INDIANA NURSE PRACTITIONE
28085357A	Other	IN	INDIANA RN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71001863 (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health Bloomington Hospital	Bloomington, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indiana University Health Southern Indiana Physicians Llc	6204748197	449

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 Jacqulyne S Booker allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Southern Indiana Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556

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 Jacqulyne S Booker 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 Jacqulyne S Booker, ANP Po Box 1329, Bloomington, IN 47402-1329 Ph: (812) 353-3087	Mrs Jacqulyne S Booker, ANP 995 S Clarizz Blvd, Bloomington, IN 47401-5588 Ph: (812) 353-3060

Reviews and Comments

Nurse Practitioner Nurses in Bloomington, IN

Ruana Cronin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-3299 Fax: 812-355-3290
Beverly J Shamloo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 S Liberty Dr, Bloomington, IN 47403 Phone: 812-676-4500
Pamela Ann Maclaughlin, DNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 S Adams St, Bloomington, IN 47403 Phone: 812-333-6324 Fax: 812-331-6700
Nichole Hickman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 S Landmark Ave, Bloomington, IN 47403 Phone: 812-335-2434 Fax: 812-335-7604
Robert G Pursell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9515
Emilee J Mcglone, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-330-3688 Fax: 812-355-3270
Erin Elizabeth Barnett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-6900

Mrs Jacqulyne S Booker, ANP - Medicare Nurse Practitioner in Bloomington, IN