Jacklyn Penny Churchill, AUD - Medicare Audiologist in Berkeley Heights, NJ

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Jacklyn Penny Churchill, AUD is a medicare enrolled "Audiologist" provider in Berkeley Heights, New Jersey. Her current practice location is 1 Diamond Hill Rd, Berkeley Heights, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 273-4300.

Jacklyn Penny Churchill is licensed to practice in New Jersey (license number 41YA00112100) 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 1386260271.

Contact Information

Jacklyn Penny Churchill, AUD
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104
(908) 273-4300
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJacklyn Penny Churchill
GenderFemale
SpecialityAudiologist
Location1 Diamond Hill Rd, Berkeley Heights, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386260271
  • Provider Enumeration Date: 06/17/2020
  • Last Update Date: 12/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4385060482
  • Enrollment ID: I20220825001267

Medical Identifiers

Medical identifiers for Jacklyn Penny Churchill such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386260271NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist 41YA00112100 (New Jersey)Primary
237600000XAudiologist-hearing Aid Fitter DA12071 (Arizona)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. Jacklyn Penny Churchill allows following entities to bill medicare on her behalf.
Provider NameSummit Medical Group Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011
Provider NameNorthland Hearing Centers Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1225070667
PECOS PAC ID: 3072514884
Enrollment ID: O20090512000243

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. Jacklyn Penny Churchill 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 AddressPractice Location Address
Jacklyn Penny Churchill, AUD
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: (908) 273-4300		Jacklyn Penny Churchill, AUD
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: (908) 273-4300

Reviews and Comments


Audiologist in Berkeley Heights, NJ

Dr. Jordana Moesch-friedman, AU.D
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 908-277-8868    
Randi Rachael Pogash, MS, AUD
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 908-273-4300    
Dr. Caitlin Faccone, AUD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 908-277-8992    
Dr. Jennifer Marianne Marchitto, AU.D.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 908-277-8868    
Dr. Kayla Holstad, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 908-277-8868    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.