Jackie Ann Burman-solgan, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mentone, California. Her current practice location is
10469 Monterey Ct, Mentone, California. You can reach out to her office (for appointments etc.) via phone at
(909) 794-2062.
Jackie Ann Burman-solgan is licensed to practice in California (license number 347894) 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 1679862353.
Provider's Profile
| Full Name | Jackie Ann Burman-solgan |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 10469 Monterey Ct, Mentone, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679862353
- Provider Enumeration Date: 04/01/2011
- Last Update Date: 09/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 1355642380
- Enrollment ID: I20180730001134
Medical Identifiers
Medical identifiers for Jackie Ann Burman-solgan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679862353 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 347894 (California) | 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. Jackie Ann Burman-solgan allows following entities to bill medicare on her behalf.
| Entity Name | Columbia Lutheran Charities |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1134146939 PECOS PAC ID: 5294643359 Enrollment ID: O20021217000028 |
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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. Jackie Ann Burman-solgan 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 |
Jackie Ann Burman-solgan, FNP 10469 Monterey Ct, Mentone, CA 92359-1535 Ph: (909) 794-2062 | Jackie Ann Burman-solgan, FNP 10469 Monterey Ct, Mentone, CA 92359-1535 Ph: (909) 794-2062 |
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