Jacquelyn Island, MD - Medicare General Practice in Phoenix, AZ

Jacquelyn Island, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Phoenix, Arizona. She went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 1987 and has 37 years of diverse experience with area of expertise as General Practice. She is a member of the group practice American Current Care Of Arizona Pa and 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 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 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 NameJacquelyn Island
GenderFemale
SpecialityGeneral Practice
Experience37 Years
Location12808 N Black Canyon Hwy, Phoenix, Arizona
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:
  • Jacquelyn Island attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1987
  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.
IdentifierTypeStateIssuer
1194849489NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083X0100XPreventive Medicine - Occupational Medicine 28020 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
American Current Care Of Arizona Pa599188602031

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 NameAmerican Current Care Of Arizona Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457543324
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 AddressPractice 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    

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.