Jackie Fletcher, AUD is a medicare enrolled "Audiologist" provider in Michigan City, Indiana. She graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Franciscan Physician Network and her current practice location is
1225 E Coolspring Ave Ste 300, Michigan City, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 873-2992.
Jackie Fletcher is licensed to practice in Indiana (license number 23002798A) 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 1326786559.
Healthcare Provider's Profile
| Full Name | Jackie Fletcher |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 3 Years |
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| Location | 1225 E Coolspring Ave Ste 300, Michigan City, Indiana |
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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:
- Jackie Fletcher graduated from medical school in 2022
NPI Data:
- NPI Number: 1326786559
- Provider Enumeration Date: 05/26/2022
- Last Update Date: 07/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 8527449586
- Enrollment ID: I20220721002865
Medical Identifiers
Medical identifiers for Jackie Fletcher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326786559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 231H00000X | Audiologist | 23002798A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Franciscan Physician Network | 3072790682 | 1041 |
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. Jackie Fletcher allows following entities to bill medicare on her behalf.
| Provider Name | Franciscan Physician Network |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1225327984
PECOS PAC ID: 3072790682
Enrollment ID: O20110608000486 |
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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. Jackie Fletcher 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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Jackie Fletcher, AUD
Po Box 781076,
Detroit, MI 48278-1076
Ph: (317) 528-4800 | Jackie Fletcher, AUD
1225 E Coolspring Ave Ste 300,
Michigan City, IN 46360-6312
Ph: (219) 873-2992 |
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