Jackie D Sprow, CRNP in Coudersport, PA - Medicare Nurse Practitioner

Jackie D Sprow, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Coudersport, Pennsylvania. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Phoenix Rehabilitation And Health Services Inc and her current practice location is 1001 E 2nd St, Coudersport, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 274-5320.

Jackie D Sprow is licensed to practice in Pennsylvania (license number SP019776) 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 1396202743.

Contact Information

	Jackie D Sprow, CRNP
	1001 E 2nd St, Coudersport, PA 16915-8179
	(814) 274-5320
	Not Available

Map and Direction

Provider's Profile

Full Name	Jackie D Sprow
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	1001 E 2nd St, Coudersport, Pennsylvania
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:

Jackie D Sprow graduated from nursing school in 2018

NPI Data:

NPI Number: 1396202743
Provider Enumeration Date: 02/21/2019
Last Update Date: 04/02/2021

Medicare PECOS Information:

PECOS PAC ID: 8325381320
Enrollment ID: I20190514003073

Medical Identifiers

Medical identifiers for Jackie D Sprow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396202743	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP019776 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Upmc Cole	Coudersport, PA	Hospital
Penn Highlands Elk	Saint marys, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Phoenix Rehabilitation And Health Services Inc	3476464298	1824

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 D Sprow allows following entities to bill medicare on her behalf.

Entity Name	Charles Cole Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326161662 PECOS PAC ID: 3779487475 Enrollment ID: O20040310001269

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 D Sprow 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 D Sprow, CRNP 1001 E 2nd St, Coudersport, PA 16915-8179 Ph: (814) 274-9300	Jackie D Sprow, CRNP 1001 E 2nd St, Coudersport, PA 16915-8179 Ph: (814) 274-5320

Reviews and Comments

Nurse Practitioner Nurses in Coudersport, PA

Ms. Laurie Christine Wahl, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-9300
Victoria Copp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-9300
Celinda Marie Austin-strick, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-9301
Ms. Amanda Marie Swanson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-5208
Amanda Budd, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-9300

Jackie D Sprow, CRNP - Medicare Nurse Practitioner in Coudersport, PA