Jaclyn M Vath, NP is a medicare enrolled "Nurse Practitioner - Family" in Cimarron, Kansas. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St. Catherine Hospital and her current practice location is
106 N Main St, Cimarron, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 855-4456.
Jaclyn M Vath is licensed to practice in Kansas (license number 75788) 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 1316290612.
Provider's Profile
| Full Name | Jaclyn M Vath |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 106 N Main St, Cimarron, Kansas |
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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:
- Jaclyn M Vath graduated from nursing school in 2012
NPI Data:
- NPI Number: 1316290612
- Provider Enumeration Date: 10/24/2012
- Last Update Date: 03/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 6507001518
- Enrollment ID: I20130322000188
Medical Identifiers
Medical identifiers for Jaclyn M Vath such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316290612 | NPI | - | NPPES |
| 30004327880002 | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 75788 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St. Catherine Hospital | 4789595844 | 79 |
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. Jaclyn M Vath allows following entities to bill medicare on her behalf.
| Entity Name | St. Catherine Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659360196
PECOS PAC ID: 4789595844
Enrollment ID: O20050302000707 |
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| Entity Name | Western Plains Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215292701
PECOS PAC ID: 2264597798
Enrollment ID: O20121128000184 |
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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. Jaclyn M Vath 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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Jaclyn M Vath, NP
106 N Main St,
Cimarron, KS 67835
Ph: (620) 855-4456 | Jaclyn M Vath, NP
106 N Main St,
Cimarron, KS 67835-8880
Ph: (620) 855-4456 |
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