Jackie Ehrlich, MS is a medicare enrolled "Advanced Practice Midwife" provider in Staten Island, New York. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice North Shore - Lij Medical Pc and her current practice location is
475 Seaview Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 226-9269.
Jackie Ehrlich is licensed to practice in * (Not Available) (license number ) 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 1326309048.
Healthcare Provider's Profile
| Full Name | Jackie Ehrlich |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 7 Years |
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| Location | 475 Seaview Ave, Staten Island, New York |
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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. |
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Medical Education and Training:
- Jackie Ehrlich graduated from medical school in 2017
NPI Data:
- NPI Number: 1326309048
- Provider Enumeration Date: 05/30/2012
- Last Update Date: 09/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 4688914708
- Enrollment ID: I20190327000672
Medical Identifiers
Medical identifiers for Jackie Ehrlich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326309048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 421301 (New York) | Secondary |
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Shore - Lij Medical Pc | 3375701568 | 5120 |
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. Jackie Ehrlich allows following entities to bill medicare on her behalf.
| Provider Name | Coney Island Medical Practice Plan, P.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1386951762
PECOS PAC ID: 5496944803
Enrollment ID: O20110114000660 |
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| Provider Name | North Shore - Lij Medical Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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| Provider Name | Advantagecare Physicians Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1336578772
PECOS PAC ID: 2365735008
Enrollment ID: O20160719000446 |
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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. Jackie Ehrlich 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 |
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Jackie Ehrlich, MS
25 Ward Ave,
Staten Island, NY 10304-2215
Ph: (718) 501-8034 | Jackie Ehrlich, MS
475 Seaview Ave,
Staten Island, NY 10305
Ph: (718) 226-9269 |
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