Jacqueline L Roethlisberger, NP in Kettering, OH

Jacqueline L Roethlisberger, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Kettering, Ohio. She graduated from nursing school in 1996 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kettering Independent Medical Group Inc and her current practice location is 3700 Southern Blvd Ste 201, Kettering, Ohio. You can reach out to her office (for appointments etc.) via phone at (855) 500-2873.

Jacqueline L Roethlisberger is licensed to practice in Ohio (license number COA 03334 NP) 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 1366561870.

Contact Information

	Jacqueline L Roethlisberger, NP
	3700 Southern Blvd Ste 201, Kettering, OH 45429-1265
	(855) 500-2873
	(937) 281-3992

Map and Direction

Provider's Profile

Full Name	Jacqueline L Roethlisberger
Gender	Female
Speciality	Nurse Practitioner
Experience	28 Years
Location	3700 Southern Blvd Ste 201, Kettering, Ohio
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:

Jacqueline L Roethlisberger graduated from nursing school in 1996

NPI Data:

NPI Number: 1366561870
Provider Enumeration Date: 03/28/2007
Last Update Date: 04/12/2022

Medicare PECOS Information:

PECOS PAC ID: 3779680970
Enrollment ID: I20070523000338

Medical Identifiers

Medical identifiers for Jacqueline L Roethlisberger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366561870	NPI	-	NPPES
2731806	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	RN 199132 COA (Ohio)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	COA 03334 NP (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grandview And Southview Hospitals	Dayton, OH	Hospital
Kettering Medical Center	Kettering, OH	Hospital
Soin Medical Center	Beaver creek, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kettering Independent Medical Group Inc	3173710936	586

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. Jacqueline L Roethlisberger allows following entities to bill medicare on her behalf.

Entity Name	University Of Cincinnati Physicians Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123

Entity Name	Alliance Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529

Entity Name	Kettering Independent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425

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. Jacqueline L Roethlisberger 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
Jacqueline L Roethlisberger, NP 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 Ph: (937) 762-1310	Jacqueline L Roethlisberger, NP 3700 Southern Blvd Ste 201, Kettering, OH 45429-1265 Ph: (855) 500-2873

Reviews and Comments

Nurse Practitioner Nurses in Kettering, OH

Ms. Noriko Tsuchihashi Banerjee, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Lincoln Park Blvd, Suite 100, Kettering, OH 45429 Phone: 937-222-3118 Fax: 937-222-1436
Erica Lee Ertel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 201, Kettering, OH 45429 Phone: 855-500-2873 Fax: 937-281-3992
Richard Foreman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-522-9260
Lashauna Hall, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343
Eric E Bowers, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-298-4331
Mrs. Erika Vanwyck Thomas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2115 E Dorothy Ln, Kettering, OH 45420 Phone: 937-610-9174
Ms. Danyell Margioras, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299

Jacqueline L Roethlisberger, NP - Medicare Nurse Practitioner in Kettering, OH