Jaclyn Jansen, AUD is a medicare enrolled "Audiologist" provider in Effingham, Illinois. Her current practice location is
905 N Maple St, Effingham, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 347-7077.
Jaclyn Jansen is licensed to practice in Illinois (license number 147001570) 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 1861869687.
Healthcare Provider's Profile
| Full Name | Jaclyn Jansen |
|---|
| Gender | Female |
|---|
| Speciality | Audiologist |
|---|
| Location | 905 N Maple St, Effingham, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1861869687
- Provider Enumeration Date: 08/27/2015
- Last Update Date: 07/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 6709194145
- Enrollment ID: I20151005000189
Medical Identifiers
Medical identifiers for Jaclyn Jansen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861869687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 147001570 (Illinois) | 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. Jaclyn Jansen allows following entities to bill medicare on her behalf.
| Provider Name | Sarah Bush Lincoln Health Center |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1669564662
PECOS PAC ID: 5092614867
Enrollment ID: O20031231000478 |
|---|
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 Jansen 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 |
|---|
Jaclyn Jansen, AUD
1005 Health Center Dr Ste 201,
Mattoon, IL 61938-4653
Ph: (217) 258-2581 | Jaclyn Jansen, AUD
905 N Maple St,
Effingham, IL 62401
Ph: (217) 347-7077 |
Reviews and Comments