Michelle Marie Jacques, RN-BC,AGPCNP-BC,CMT is a medicare enrolled "Nurse Practitioner" provider in Fairfax, Virginia. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
8501 Arlington Blvd Ste 410, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 738-4331.
Michelle Marie Jacques is licensed to practice in Virginia (license number 0024173383) 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 1194172726.
Healthcare Provider's Profile
| Full Name | Michelle Marie Jacques |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 8501 Arlington Blvd Ste 410, Fairfax, Virginia |
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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. |
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Medical Education and Training:
- Michelle Marie Jacques graduated from medical school in 2015
NPI Data:
- NPI Number: 1194172726
- Provider Enumeration Date: 05/24/2016
- Last Update Date: 04/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 2264710516
- Enrollment ID: I20161021000043
Medical Identifiers
Medical identifiers for Michelle Marie Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194172726 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225700000X | Massage Therapist | 0019005354 (Virginia) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 0024173383 (Virginia) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 0024173383 (Virginia) | Secondary |
| 363L00000X | Nurse Practitioner | 0024173383 (Virginia) | 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. Michelle Marie Jacques allows following entities to bill medicare on her behalf.
| Provider Name | Collaborative Pain Management, Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1356947295
PECOS PAC ID: 7911319827
Enrollment ID: O20201218000004 |
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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. Michelle Marie Jacques 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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Michelle Marie Jacques, RN-BC,AGPCNP-BC,CMT
11350 Mccormick Rd, Bldg 1, Suite 501,
Hunt Valley, MD 21031
Ph: (410) 329-1071 | Michelle Marie Jacques, RN-BC,AGPCNP-BC,CMT
8501 Arlington Blvd Ste 410,
Fairfax, VA 22031-4625
Ph: (703) 738-4331 |
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