Jewel A Engle, MD is a medicare enrolled "Internal Medicine" physician in Ada, Ohio. Her current practice location is
520 W Lincoln Ave Ste A, Ada, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 634-2015.
Jewel A Engle is licensed to practice in Ohio (license number 35068564) 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 1841521887.
Physician's Profile
| Full Name | Jewel A Engle |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 520 W Lincoln Ave Ste A, Ada, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841521887
- Provider Enumeration Date: 01/14/2010
- Last Update Date: 01/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 5193850402
- Enrollment ID: I20100311000701
Medical Identifiers
Medical identifiers for Jewel A Engle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841521887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 35068564 (Ohio) | Secondary |
| 207R00000X | Internal Medicine | 35068564 (Ohio) | 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. Jewel A Engle allows following entities to bill medicare on her behalf.
| Entity Name | Lima Memorial Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457474900
PECOS PAC ID: 1254232184
Enrollment ID: O20040115000131 |
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| Entity Name | Blanchard Valley Medical Practice Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962501627
PECOS PAC ID: 9234168147
Enrollment ID: O20050811000177 |
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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. Jewel A Engle 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 |
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Jewel A Engle, MD
1001 Bellefontaine Ave,
Lima, OH 45804-2800
Ph: (419) 998-4575 | Jewel A Engle, MD
520 W Lincoln Ave Ste A,
Ada, OH 45810-9466
Ph: (419) 634-2015 |
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