Mrs Kristy Jo Jakeway, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lakeview, Ohio. Her current practice location is
11376 Oak St, Lakeview, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 869-8081.
Mrs Kristy Jo Jakeway is licensed to practice in Ohio (license number APRN.CNP.019397) 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 1902255169.
Provider's Profile
Full Name | Mrs Kristy Jo Jakeway |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 11376 Oak St, Lakeview, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902255169
- Provider Enumeration Date: 06/08/2016
- Last Update Date: 09/28/2016
Medicare PECOS Information:
- PECOS PAC ID: 1456630219
- Enrollment ID: I20161117002670
Medical Identifiers
Medical identifiers for Mrs Kristy Jo Jakeway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902255169 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.019397 (Ohio) | Primary |
163WE0003X | Registered Nurse - Emergency | RN366667 (Ohio) | Secondary |
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 Kristy Jo Jakeway allows following entities to bill medicare on her behalf.
Entity Name | Mercer County Joint Township Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497784144 PECOS PAC ID: 8820081755 Enrollment ID: O20040406001632 |
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Entity Name | Emergency Professional Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
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Entity Name | Mercy Emergency Care Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477957819 PECOS PAC ID: 9436475795 Enrollment ID: O20150303001904 |
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Entity Name | Usacs Integrated Acute Care Services Of Ohio Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043805690 PECOS PAC ID: 9032527221 Enrollment ID: O20210428002191 |
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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 Kristy Jo Jakeway 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 Kristy Jo Jakeway, FNP-C 11376 Oak St, Lakeview, OH 43331 Ph: (937) 869-8081 | Mrs Kristy Jo Jakeway, FNP-C 11376 Oak St, Lakeview, OH 43331-9293 Ph: (937) 869-8081 |
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