Jack Hurrell, RN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Washington, District Of Columbia. He graduated from healthcare school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Anchor Mental Health Association and his current practice location is
801 Pennsylvania Ave Se, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at
(202) 546-1512.
Jack Hurrell is licensed to practice in California (license number 95003902) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649577925.
Healthcare Provider's Profile
| Full Name | Jack Hurrell |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 801 Pennsylvania Ave Se, Washington, District Of Columbia |
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| Accepts Medicare Assignments | Yes. He 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:
- Jack Hurrell graduated from medical school in 2015
NPI Data:
- NPI Number: 1649577925
- Provider Enumeration Date: 02/22/2011
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 4789940883
- Enrollment ID: I20171106002135
Medical Identifiers
Medical identifiers for Jack Hurrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649577925 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 163W00000X | Registered Nurse | 847545 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95003902 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Anchor Mental Health Association | 7214030501 | 6 |
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. Jack Hurrell allows following entities to bill medicare on his behalf.
| Entity Name | Anchor Mental Health Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417029935
PECOS PAC ID: 7214030501
Enrollment ID: O20070306000651 |
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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. Jack Hurrell 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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Jack Hurrell, RN, PMHNP-BC
801 Pennsylvania Ave Se,
Washington, DC 20003-2167
Ph: (202) 546-1512 | Jack Hurrell, RN, PMHNP-BC
801 Pennsylvania Ave Se,
Washington, DC 20003-2167
Ph: (202) 546-1512 |
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