Jacqulyn Stachowiak, - Medicare Nurse Practitioner in Olmsted Twp, OH

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Jacqulyn Stachowiak, is a medicare enrolled "Nurse Practitioner - Family" in Olmsted Twp, Ohio. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southwest General Medical Group Inc and her current practice location is 27076 Bagley Road, Olmsted Twp, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 816-8380.

Jacqulyn Stachowiak is licensed to practice in Ohio (license number APRN.CNP.019712) 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 1073068896.

Contact Information

Jacqulyn Stachowiak,
27076 Bagley Road,
Olmsted Twp, OH 44138
(440) 816-8380
(440) 816-8383

Map and Direction




Provider's Profile

Full NameJacqulyn Stachowiak
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location27076 Bagley Road, Olmsted Twp, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqulyn Stachowiak graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1073068896
  • Provider Enumeration Date: 08/22/2016
  • Last Update Date: 06/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3072894237
  • Enrollment ID: I20161229001464

Medical Identifiers

Medical identifiers for Jacqulyn Stachowiak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073068896NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.019712 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southwest General Health CenterMiddleburg heights, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southwest General Medical Group Inc8527964550163

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. Jacqulyn Stachowiak allows following entities to bill medicare on her behalf.
Entity NameSouthwest General Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134239676
PECOS PAC ID: 8527964550
Enrollment ID: O20031210000789

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. Jacqulyn Stachowiak 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
Jacqulyn Stachowiak,
27076 Bagley Road,
Olmsted Twp, OH 44138

Ph: () -		Jacqulyn Stachowiak,
27076 Bagley Road,
Olmsted Twp, OH 44138

Ph: (440) 816-8380

Reviews and Comments


Nurse Practitioner Nurses in Olmsted Twp, OH

Mrs. Thu Thao Bui,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 27369 Tiller Dr, Olmsted Twp, OH 44138
Phone: 216-212-8247    
Mrs. Alexa Lee Lamorgese, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 27089 Bagley Rd, Olmsted Twp, OH 44138
Phone: 440-234-4700    
Rebecca S Albright, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 27230 Bagley Rd, Olmsted Twp, OH 44138
Phone: 440-781-6621    
Ms. Laura Catherine Pauley, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 26376 John Rd, Olmsted Twp, OH 44138
Phone: 440-235-7100    
Jennifer L. Williams, MSN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 27089 Bagley Rd, Olmsted Twp, OH 44138
Phone: 440-234-4700    

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.