Jacklyn Reyes Pancrudo, DO - Medicare Critical Care (intensivists) in Miami, FL

Jacklyn Reyes Pancrudo, DO is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Miami, Florida. She graduated from medical school in 2009 and has 14 years of diverse experience with area of expertise as Critical Care (intensivists). She is a member of the group practice Intensive Care Consortium Inc, Critical Care Physician Of New York Pc, Intensive Care Consortium Inc, Intensive Care Consortium Inc and her current practice location is 11750 Sw 40th St, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at (561) 997-0821.

Jacklyn Reyes Pancrudo is licensed to practice in Florida (license number OS11255) 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 1003046962.

Contact Information

Jacklyn Reyes Pancrudo, DO
11750 Sw 40th St,
Miami, FL 33175-3530
(561) 997-0821
Not Available

Map and Direction




Physician's Profile

Full NameJacklyn Reyes Pancrudo
GenderFemale
SpecialityCritical Care (intensivists)
Experience14 Years
Location11750 Sw 40th St, Miami, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacklyn Reyes Pancrudo graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1003046962
  • Provider Enumeration Date: 07/24/2009
  • Last Update Date: 01/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7012134992
  • Enrollment ID: I20140818000730

Medical Identifiers

Medical identifiers for Jacklyn Reyes Pancrudo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003046962NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine OS11255 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Regional Medical Center Bayonet PointHudson, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intensive Care Consortium Inc0244269413364
Critical Care Physician Of New York Pc468882583926
Intensive Care Consortium Inc0244269413364
Intensive Care Consortium Inc0244269413364

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. Jacklyn Reyes Pancrudo allows following entities to bill medicare on her behalf.
Entity NameIntensive Care Consortium Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629019062
PECOS PAC ID: 0244269413
Enrollment ID: O20050808000883
Entity NameCogent Healthcare Of Jacksonville, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124252333
PECOS PAC ID: 1759435944
Enrollment ID: O20090824000043

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. Jacklyn Reyes Pancrudo 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 AddressPractice Location Address
Jacklyn Reyes Pancrudo, DO
1875 Nw Corporate Blvd, Suite 270,
Boca Raton, FL 33431-8542

Ph: (561) 997-0821
Jacklyn Reyes Pancrudo, DO
11750 Sw 40th St,
Miami, FL 33175-3530

Ph: (561) 997-0821

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.