Theresa M Jacques, FNP-C is a medicare enrolled "Nurse Practitioner" in Winslow, Maine. She graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mainegeneral Medical Center and her current practice location is
80 Garland Rd, Winslow, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 873-1098.
Theresa M Jacques is licensed to practice in Maine (license number R023315) 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 1881647709.
Provider's Profile
Full Name | Theresa M Jacques |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 25 Years |
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Location | 80 Garland Rd, Winslow, Maine |
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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:
- Theresa M Jacques graduated from nursing school in 1999
NPI Data:
- NPI Number: 1881647709
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 05/05/2008
Medicare PECOS Information:
- PECOS PAC ID: 0648293811
- Enrollment ID: I20060113000430
Medical Identifiers
Medical identifiers for Theresa M Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881647709 | NPI | - | NPPES |
01-0443255 | Other | | CIGNA |
283350099 | Medicaid | ME | |
098281 | Other | ME | ANTHEM |
500006987 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | R023315 (Maine) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mainegeneral Medical Center | 1254245715 | 489 |
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. Theresa M Jacques allows following entities to bill medicare on her behalf.
Entity Name | Mainegeneral Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718 |
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Entity Name | Mainegeneral Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063716710 PECOS PAC ID: 1254245715 Enrollment ID: O20110408000034 |
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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. Theresa M Jacques 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 |
Theresa M Jacques, FNP-C Po Box 247, North Vassalboro, ME 04962-0247 Ph: (207) 873-1098 | Theresa M Jacques, FNP-C 80 Garland Rd, Winslow, ME 04901-0600 Ph: (207) 873-1098 |
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