Jaclyn Carol House, MSN, FNP-BC, RN - Medicare Nurse Practitioner in Detroit, MI

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Jaclyn Carol House, MSN, FNP-BC, RN is a medicare enrolled "Nurse Practitioner - Family" in Detroit, Michigan. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Henry Ford Health System, Henry Ford Urgent Care and her current practice location is 3990 John R St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 745-2879.

Jaclyn Carol House is licensed to practice in Michigan (license number 4704276550) 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 1700289543.

Contact Information

Jaclyn Carol House, MSN, FNP-BC, RN
3990 John R St,
Detroit, MI 48201-2018
(313) 745-2879
Not Available

Map and Direction




Provider's Profile

Full NameJaclyn Carol House
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location3990 John R St, Detroit, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jaclyn Carol House graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1700289543
  • Provider Enumeration Date: 10/08/2014
  • Last Update Date: 01/08/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1355667098
  • Enrollment ID: I20150224001065

Medical Identifiers

Medical identifiers for Jaclyn Carol House such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700289543NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704276550 (Michigan)Primary
163W00000XRegistered Nurse 4704276550 (Michigan)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Ford West Bloomfield HospitalWest bloomfield, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henry Ford Health System05471783112304
Henry Ford Urgent Care6901296110101

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. Jaclyn Carol House allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104900455
PECOS PAC ID: 0547178311
Enrollment ID: O20031210000341
Entity NameVhs Physicians Of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073827101
PECOS PAC ID: 8921289760
Enrollment ID: O20110225000849
Entity NameBeaumont Medical Group- Specialty Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578072906
PECOS PAC ID: 7214299866
Enrollment ID: O20180320002549
Entity NameHenry Ford Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184389876
PECOS PAC ID: 6901296110
Enrollment ID: O20211202000908

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. Jaclyn Carol House 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
Jaclyn Carol House, MSN, FNP-BC, RN
13117 W 11 Mile Rd,
Huntington Woods, MI 48070-1009

Ph: (248) 259-3075		Jaclyn Carol House, MSN, FNP-BC, RN
3990 John R St,
Detroit, MI 48201-2018

Ph: (313) 745-2879

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.