Jason Keith Fackler, ARNP is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Louisville, Kentucky. He graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice University Of Louisville Physicians Inc and his current practice location is
201 Abraham Flexner Way Ste 1105, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 367-4500.
Jason Keith Fackler is licensed to practice in Kentucky (license number 3019095) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609564566.
Physician's Profile
| Full Name | Jason Keith Fackler |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 4 Years |
|---|
| Location | 201 Abraham Flexner Way Ste 1105, Louisville, Kentucky |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Jason Keith Fackler graduated from medical school in 2022
NPI Data:
- NPI Number: 1609564566
- Provider Enumeration Date: 04/28/2023
- Last Update Date: 09/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850296310
- Enrollment ID: I20241030004422
Medical Identifiers
Medical identifiers for Jason Keith Fackler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609564566 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | APRN11026036 (Florida) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 3019095 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Of Louisville Physicians Inc | 3476725599 | 1264 |
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. Jason Keith Fackler allows following entities to bill medicare on his behalf.
| Entity Name | University Of Louisville Physicians Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1366722316
PECOS PAC ID: 3476725599
Enrollment ID: O20111017000036 |
|---|
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. Jason Keith Fackler 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 |
|---|
Jason Keith Fackler, ARNP
Po Box 909,
Louisville, KY 40201-0909
Ph: (502) 367-4500 | Jason Keith Fackler, ARNP
201 Abraham Flexner Way Ste 1105,
Louisville, KY 40202-3841
Ph: (502) 367-4500 |
Reviews and Comments