Jacquelyn Island, MD in Phoenix, AZ - Medicare Preventive Medicine

Jacquelyn Island, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Phoenix, Arizona. Her current practice location is 12808 N Black Canyon Hwy, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (615) 778-4066.

Jacquelyn Island is licensed to practice in Arizona (license number 28020) 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 1194849489.

Contact Information

	Jacquelyn Island, MD
	12808 N Black Canyon Hwy, Phoenix, AZ 85029-1346
	(615) 778-4066
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacquelyn Island
Gender	Female
Speciality	Preventive Medicine - Occupational Medicine
Location	12808 N Black Canyon Hwy, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194849489
Provider Enumeration Date: 03/19/2007
Last Update Date: 02/17/2009

Medicare PECOS Information:

PECOS PAC ID: 0446312888
Enrollment ID: I20081219000162

Medical Identifiers

Medical identifiers for Jacquelyn Island such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194849489	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083X0100X	Preventive Medicine - Occupational Medicine	28020 (Arizona)	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. Jacquelyn Island allows following entities to bill medicare on her behalf.

Entity Name	American Current Care Of Arizona Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780873307 PECOS PAC ID: 5991886020 Enrollment ID: O20080115000594

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. Jacquelyn Island 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
Jacquelyn Island, MD 5080 Spectrum Dr, Suite 1200 West Tower, Addison, TX 75001-4648 Ph: (800) 232-3550	Jacquelyn Island, MD 12808 N Black Canyon Hwy, Phoenix, AZ 85029-1346 Ph: (615) 778-4066

Reviews and Comments

Preventive Medicine Doctors in Phoenix, AZ

Dr. Ralph John Luciani I, D.O., M.D.(H) Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1530 W Glendale Ave, Suite 106, Phoenix, AZ 85021 Phone: 602-242-4024 Fax: 602-242-4913
William C Knowler, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1550 E Indian School Rd, Phoenix, AZ 85014 Phone: 602-200-5206
Michael A Keer, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 5340 W Buckeye Rd, Suite 3, Phoenix, AZ 85043 Phone: 615-778-4066
Nicolau J Chamma, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2502 E Washington St, Phoenix, AZ 85034 Phone: 615-778-4066
Dr. Rosalie E Banasiak, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 12808 North Black Canyon Highway, Phoenix, AZ 85029 Phone: 602-375-1155 Fax: 602-866-9169
Gilbert T Webb Ii, THERAPY DIRECTOR Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 320 E Mcdowell Rd, Suite 105 & 325, Phoenix, AZ 85004 Phone: 615-778-4066
Amirarsalan Eissa, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1209 S 1st Ave, Phoenix, AZ 85003 Phone: 602-258-6797 Fax: 602-248-8113

Jacquelyn Island, MD - Medicare Preventive Medicine in Phoenix, AZ