Ms Amy Jacky, PMHNP in Springfield, TN - Medicare Nurse Practitioner

Ms Amy Jacky, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Springfield, Tennessee. She went to Vanderbilt University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eagan Counseling Clinic, Fairview Express Care and her current practice location is 713 Cheatham St, Springfield, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 463-6200.

Ms Amy Jacky is licensed to practice in Tennessee (license number 18091) 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 1922437334.

Contact Information

	Ms Amy Jacky, PMHNP
	713 Cheatham St, Springfield, TN 37172-2828
	(615) 463-6200
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Amy Jacky
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	713 Cheatham St, Springfield, Tennessee
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:

Ms Amy Jacky attended and graduated from Vanderbilt University School Of Medicine in 2013

NPI Data:

NPI Number: 1922437334
Provider Enumeration Date: 11/06/2013
Last Update Date: 11/06/2013

Medicare PECOS Information:

PECOS PAC ID: 4183852478
Enrollment ID: I20160719002800

Medical Identifiers

Medical identifiers for Ms Amy Jacky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922437334	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	18091 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Minnesota Medical Center, Fairview	Minneapolis, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eagan Counseling Clinic	2860304045	31
Fairview Express Care	3375645179	1537

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. Ms Amy Jacky allows following entities to bill medicare on her behalf.

Entity Name	University Of Minnesota Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532

Entity Name	Eagan Counseling Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144311184 PECOS PAC ID: 2860304045 Enrollment ID: O20031105000326

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Entity Name	University Of Minnesota Health Clinics And Surgery Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524

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. Ms Amy Jacky 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
Ms Amy Jacky, PMHNP 713 Cheatham St, Springfield, TN 37172-2828 Ph: (615) 463-6200	Ms Amy Jacky, PMHNP 713 Cheatham St, Springfield, TN 37172-2828 Ph: (615) 463-6200

Reviews and Comments

Nurse Practitioner Nurses in Springfield, TN

Michelle Marie Breedlove, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-2411
Jessica Megan Stewart, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5991 Highway 161, Springfield, TN 37172 Phone: 615-533-8919
Johna Wix, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 903 Memorial Blvd, Springfield, TN 37172 Phone: 615-384-8481
Robyn Carmody, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2308a Memorial Blvd, Springfield, TN 37172 Phone: 615-384-3833 Fax: 615-384-3287
Cierra Kimbrough, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 903 Memorial Blvd, Springfield, TN 37172 Phone: 615-384-8481
Mrs. Amanda L Lail, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16791 Highway 76 E, Springfield, TN 37172 Phone: 828-238-7224
Mrs. Amanda Kay Hardy, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 903 Memorial Blvd # Tn002, Springfield, TN 37172 Phone: 615-969-1228

Ms Amy Jacky, PMHNP - Medicare Nurse Practitioner in Springfield, TN