Jaclyn Notarberardino, PA is a medicare enrolled "Physician Assistant" physician in Rochester, Michigan. She went to University Of South Alabama College Of Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Ascension Providence Rochester Hospital and her current practice location is
1135 W University Dr Ste 450, Rochester, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 650-1871.
Jaclyn Notarberardino is licensed to practice in Michigan (license number 5601011240) 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 1396318515.
Physician's Profile
| Full Name | Jaclyn Notarberardino |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 1135 W University Dr Ste 450, Rochester, Michigan |
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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:
- Jaclyn Notarberardino attended and graduated from University Of South Alabama College Of Medicine in 2022
NPI Data:
- NPI Number: 1396318515
- Provider Enumeration Date: 07/24/2021
- Last Update Date: 12/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648640243
- Enrollment ID: I20231007000602
Medical Identifiers
Medical identifiers for Jaclyn Notarberardino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396318515 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 50.007801 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 5601011240 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ascension Providence Rochester Hospital | 8820994098 | 89 |
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 Notarberardino 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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Jaclyn Notarberardino, PA
18901 Lake Shore Blvd,
Euclid, OH 44119-1078
Ph: () - | Jaclyn Notarberardino, PA
1135 W University Dr Ste 450,
Rochester, MI 48307-1871
Ph: (248) 650-1871 |
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