Jacquelyn Pearlmutter, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Phoenix, Arizona. Her current practice location is
2601 E Roosevelt St, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 344-5011.
Jacquelyn Pearlmutter is licensed to practice in * (Not Available) (license number ) 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 1295425395.
Physician's Profile
| Full Name | Jacquelyn Pearlmutter |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2601 E Roosevelt St, Phoenix, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295425395
- Provider Enumeration Date: 05/11/2023
- Last Update Date: 08/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082124854
- Enrollment ID: I20250610003421
Medical Identifiers
Medical identifiers for Jacquelyn Pearlmutter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295425395 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 011788 (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | RS2025-0200 (New Mexico) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Pearlmutter 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 Pearlmutter, DO 3100 N Central Ave # 711d, Phoenix, AZ 85012-2637 Ph: (602) 344-3000 | Jacquelyn Pearlmutter, DO 2601 E Roosevelt St, Phoenix, AZ 85008-4973 Ph: (602) 344-5011 |
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