Jaqualyn Iardella, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Poughkeepsie, New York. She graduated from healthcare school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tms Medical Of The Hudson Valley Pc and her current practice location is
370 Violet Ave, Poughkeepsie, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 471-1807.
Jaqualyn Iardella is licensed to practice in New York (license number 406679) 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 1851771851.
Healthcare Provider's Profile
| Full Name | Jaqualyn Iardella |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 370 Violet Ave, Poughkeepsie, New York |
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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:
- Jaqualyn Iardella graduated from medical school in 2024
NPI Data:
- NPI Number: 1851771851
- Provider Enumeration Date: 06/04/2015
- Last Update Date: 05/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 2365985033
- Enrollment ID: I20250307001620
Medical Identifiers
Medical identifiers for Jaqualyn Iardella such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851771851 | NPI | - | NPPES |
| 10400Y | Other | MA | MEDICARE PAN |
| 01420800 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 163W00000X | Registered Nurse | 817212 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 406679 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tms Medical Of The Hudson Valley Pc | 1759771215 | 8 |
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. Jaqualyn Iardella allows following entities to bill medicare on her behalf.
| Entity Name | Tms Medical Of The Hudson Valley Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255911582
PECOS PAC ID: 1759771215
Enrollment ID: O20211124001445 |
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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. Jaqualyn Iardella 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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Jaqualyn Iardella,
370 Violet Ave,
Poughkeepsie, NY 12601-1034
Ph: () - | Jaqualyn Iardella,
370 Violet Ave,
Poughkeepsie, NY 12601-1034
Ph: (845) 471-1807 |
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