Jacquelyn P Bauer, CRNP in Cumberland, MD - Medicare Nurse Practitioner

Jacquelyn P Bauer, CRNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Cumberland, Maryland. Her current practice location is 500 Greene St, Cumberland, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 724-7616.

Jacquelyn P Bauer is licensed to practice in Maryland (license number R110105) 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 1124010004.

Contact Information

	Jacquelyn P Bauer, CRNP
	500 Greene St, Cumberland, MD 21502-2755
	(301) 724-7616
	(301) 724-4811

Map and Direction

Provider's Profile

Full Name	Jacquelyn P Bauer
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	500 Greene St, Cumberland, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124010004
Provider Enumeration Date: 08/17/2005
Last Update Date: 08/03/2022

Medicare PECOS Information:

PECOS PAC ID: 7719932524
Enrollment ID: I20050315000327

Medical Identifiers

Medical identifiers for Jacquelyn P Bauer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124010004	NPI	-	NPPES
103470021	Medicaid	PA
126751500	Medicaid	MD
0167161000	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0000X	Nurse Practitioner - Neonatal	R110105 (Maryland)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	SP018623 (Pennsylvania)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	R110105 (Maryland)	Primary

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. Jacquelyn P Bauer allows following entities to bill medicare on her behalf.

Entity Name	West Virginia University Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207

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. Jacquelyn P Bauer 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
Jacquelyn P Bauer, CRNP 13210 Growdenvale Dr Ne, Cumberland, MD 21502-6844 Ph: (301) 724-7616	Jacquelyn P Bauer, CRNP 500 Greene St, Cumberland, MD 21502-2755 Ph: (301) 724-7616

Reviews and Comments

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Jacquelyn P Bauer, CRNP - Medicare Nurse Practitioner in Cumberland, MD