Dr Jaclyn A Tomsic, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Independence, Ohio. Her current practice location is
6701 Rockside Rd Ste 209, Independence, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 328-1234.
Dr Jaclyn A Tomsic is licensed to practice in Ohio (license number 35.136163) 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 1326224783.
Healthcare Provider's Profile
| Full Name | Dr Jaclyn A Tomsic |
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| Gender | Female |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 6701 Rockside Rd Ste 209, Independence, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326224783
- Provider Enumeration Date: 01/16/2008
- Last Update Date: 02/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284852369
- Enrollment ID: I20191115001828
Medical Identifiers
Medical identifiers for Dr Jaclyn A Tomsic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1326224783 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | 30-022696 (Ohio) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 30.022696 (Ohio) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2014025584 (Missouri) | Secondary |
| 208600000X | Surgery | 2014032411 (Missouri) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 35.136163 (Ohio) | 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. Dr Jaclyn A Tomsic allows following entities to bill medicare on her behalf.
| Entity Name | Case Dental Medicine Support Services,llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104059658 PECOS PAC ID: 7416071592 Enrollment ID: O20100825001171 |
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| Entity Name | Ohios Center For Of&i Surgery Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497181036 PECOS PAC ID: 5496983918 Enrollment ID: O20140108000645 |
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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. Dr Jaclyn A Tomsic 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 |
Dr Jaclyn A Tomsic, MD 3600 Park East Dr Apt 539, Beachwood, OH 44122-4358 Ph: (440) 213-9459 | Dr Jaclyn A Tomsic, MD 6701 Rockside Rd Ste 209, Independence, OH 44131-2316 Ph: (216) 328-1234 |
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