Jackie Floyd Hagenbaumer, - Medicare Nurse Anesthetist, Certified Registered in Jacksonville, FL

Jackie Floyd Hagenbaumer, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Florida. Her current practice location is 655 W 8th St, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 244-0411.

Jackie Floyd Hagenbaumer is licensed to practice in Florida (license number 11023863) 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 1710691274.

Contact Information

Jackie Floyd Hagenbaumer,
655 W 8th St,
Jacksonville, FL 32209-6511
(904) 244-0411
Not Available

Map and Direction




Provider's Profile

Full NameJackie Floyd Hagenbaumer
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location655 W 8th St, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710691274
  • Provider Enumeration Date: 01/10/2023
  • Last Update Date: 01/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749653962
  • Enrollment ID: I20230308001928

Medical Identifiers

Medical identifiers for Jackie Floyd Hagenbaumer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710691274NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 11023863 (Florida)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 Floyd Hagenbaumer allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Florida Jacksonville Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144276452
PECOS PAC ID: 9133025869
Enrollment ID: O20040128000786

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 Floyd Hagenbaumer 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 AddressPractice Location Address
Jackie Floyd Hagenbaumer,
9479 Heckscher Dr,
Jacksonville, FL 32226-2420

Ph: (352) 214-4761
Jackie Floyd Hagenbaumer,
655 W 8th St,
Jacksonville, FL 32209-6511

Ph: (904) 244-0411

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.