Jacqulin Fabina, is a medicare enrolled "Family Medicine" physician in Williamsburg, Pennsylvania. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2010 and has 16 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Upmc Altoona and her current practice location is
306 Plum St, Williamsburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 832-3405.
Jacqulin Fabina is licensed to practice in Pennsylvania (license number OS015975) 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 1730409509.
Physician's Profile
| Full Name | Jacqulin Fabina |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 16 Years |
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| Location | 306 Plum St, Williamsburg, Pennsylvania |
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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. |
Medical Education and Training:
- Jacqulin Fabina attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2010
NPI Data:
- NPI Number: 1730409509
- Provider Enumeration Date: 06/03/2010
- Last Update Date: 03/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 6305071606
- Enrollment ID: I20131022001283
Medical Identifiers
Medical identifiers for Jacqulin Fabina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730409509 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | OS015975 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Upmc Altoona | 8426962465 | 95 |
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. Jacqulin Fabina allows following entities to bill medicare on her behalf.
| Entity Name | Upmc Altoona |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487604179 PECOS PAC ID: 8426962465 Enrollment ID: O20040406001053 |
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| Entity Name | Upmc Altoona |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437100765 PECOS PAC ID: 8426962465 Enrollment ID: O20040406001118 |
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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. Jacqulin Fabina 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 |
Jacqulin Fabina, 306 Plum St, Williamsburg, PA 16693-1116 Ph: () - | Jacqulin Fabina, 306 Plum St, Williamsburg, PA 16693-1116 Ph: (814) 832-3405 |
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