Allison Olivia Jaekle, is a medicare enrolled "Physician Assistant" physician in Brooklyn, New York. Her current practice location is
7901 4th Ave Ste A20, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 491-5800.
Allison Olivia Jaekle is licensed to practice in New York (license number 026397-01) 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 1093304594.
Physician's Profile
| Full Name | Allison Olivia Jaekle |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 7901 4th Ave Ste A20, Brooklyn, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093304594
- Provider Enumeration Date: 01/11/2021
- Last Update Date: 09/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 7618343401
- Enrollment ID: I20221019001962
Medical Identifiers
Medical identifiers for Allison Olivia Jaekle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093304594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 00000000000 (New York) | Secondary |
| 363A00000X | Physician Assistant | 026397-01 (New York) | Primary |
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. Allison Olivia Jaekle 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 |
|---|
Allison Olivia Jaekle,
119 Park Ave,
Lake Ronkonkoma, NY 11779-1729
Ph: (631) 557-3043 | Allison Olivia Jaekle,
7901 4th Ave Ste A20,
Brooklyn, NY 11209-3957
Ph: (718) 491-5800 |
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