Jaclyn Henning, NP in Daly City, CA - Medicare Family Medicine

Jaclyn Henning, NP is a medicare enrolled "Family Medicine" physician in Daly City, California. Her current practice location is 901 Campus Dr Ste 111, Daly City, California. You can reach out to her office (for appointments etc.) via phone at (650) 575-7351.

Jaclyn Henning is licensed to practice in California (license number 95025904) 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 1588347892.

Contact Information

	Jaclyn Henning, NP
	901 Campus Dr Ste 111, Daly City, CA 94015-4930
	(650) 575-7351
	Not Available

Map and Direction

Physician's Profile

Full Name	Jaclyn Henning
Gender	Female
Speciality	Family Medicine
Location	901 Campus Dr Ste 111, Daly City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588347892
Provider Enumeration Date: 08/11/2023
Last Update Date: 08/11/2023

Medicare PECOS Information:

PECOS PAC ID: 2264896380
Enrollment ID: I20230907003737

Medical Identifiers

Medical identifiers for Jaclyn Henning such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588347892	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	95025904 (California)	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. Jaclyn Henning allows following entities to bill medicare on her behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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. Jaclyn Henning 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
Jaclyn Henning, NP 901 Campus Dr Ste 111, Daly City, CA 94015-4930 Ph: () -	Jaclyn Henning, NP 901 Campus Dr Ste 111, Daly City, CA 94015-4930 Ph: (650) 575-7351

Reviews and Comments

Family Medicine Doctors in Daly City, CA

Lisa Lam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Campus Dr, Daly City, CA 94015 Phone: 650-652-8500
Dr. Ruth Elaine Hoddinott, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1800 Sullivan Ave Rm 606, Daly City, CA 94015 Phone: 650-301-0500 Fax: 650-994-2716
Bernard Roazen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1850 Sullivan Ave, #150, Daly City, CA 94015 Phone: 650-994-2300 Fax: 650-992-0122
Cheng Hui Stephanie Shao, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 93 Skyline Plz, Daly City, CA 94015 Phone: 650-991-8883
Elisa Frances Raquidan Nasol, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 380 90th St, Daly City, CA 94015 Phone: 650-301-8600
Nirmal Kharel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 395 Hickey Blvd, Daly City, CA 94015 Phone: 650-301-5860
Dr. Pedro Liwanag Cajator, MEDICAL DOCTOR Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Sullivan Ave, Rm 101, Daly City, CA 94015 Phone: 650-994-0459 Fax: 650-994-1450

Jaclyn Henning, NP - Medicare Family Medicine in Daly City, CA