Ms Jacquelyn Ray Beemer, PA-C is a medicare enrolled "Physician Assistant" physician in Fort Wayne, Indiana. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Three Rivers Dermatology, Llc and her current practice location is
5650 Coventry Ln, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 436-9696.
Ms Jacquelyn Ray Beemer is licensed to practice in Indiana (license number 10002412A) 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 1396248415.
Physician's Profile
| Full Name | Ms Jacquelyn Ray Beemer |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 7 Years |
|---|
| Location | 5650 Coventry Ln, Fort Wayne, Indiana |
|---|
| 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:
- Ms Jacquelyn Ray Beemer graduated from medical school in 2017
NPI Data:
- NPI Number: 1396248415
- Provider Enumeration Date: 03/15/2018
- Last Update Date: 03/15/2018
Medicare PECOS Information:
- PECOS PAC ID: 8022371418
- Enrollment ID: I20180417002890
Medical Identifiers
Medical identifiers for Ms Jacquelyn Ray Beemer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396248415 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 10002412A (Indiana) | Secondary |
| 363A00000X | Physician Assistant | 10002412A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Three Rivers Dermatology, Llc | 3375685092 | 5 |
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. Ms Jacquelyn Ray Beemer 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 |
|---|
Ms Jacquelyn Ray Beemer, PA-C
5650 Coventry Ln,
Fort Wayne, IN 46804-7140
Ph: (260) 436-9696 | Ms Jacquelyn Ray Beemer, PA-C
5650 Coventry Ln,
Fort Wayne, IN 46804-7140
Ph: (260) 436-9696 |
Reviews and Comments