Jaclyn Dubois, CNM is a medicare enrolled "Midwife" in Sun City West, Arizona. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Northeast Medical Practice Inc and her current practice location is
14502 W Meeker Blvd, Sun City West, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 524-4000.
Jaclyn Dubois is licensed to practice in Massachusetts (license number RN2281225) 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 1033760624.
Provider's Profile
| Full Name | Jaclyn Dubois |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 6 Years |
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| Location | 14502 W Meeker Blvd, Sun City West, Arizona |
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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:
- Jaclyn Dubois graduated from nursing school in 2019
NPI Data:
- NPI Number: 1033760624
- Provider Enumeration Date: 09/24/2019
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466886619
- Enrollment ID: I20231016000658
Medical Identifiers
Medical identifiers for Jaclyn Dubois such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033760624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | CNM05705 (Utah) | Secondary |
| 176B00000X | Midwife | RN2281225 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northeast Medical Practice Inc | 2365405024 | 228 |
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 Dubois allows following entities to bill medicare on her behalf.
| Entity Name | Brigham & Womens Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790717650
PECOS PAC ID: 4385554732
Enrollment ID: O20040407000771 |
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| Entity Name | Northeast Medical Practice Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235147760
PECOS PAC ID: 2365405024
Enrollment ID: O20050111000265 |
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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. Jaclyn Dubois 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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Jaclyn Dubois, CNM
3200 S 600 E,
Salt Lake City, UT 84106-1218
Ph: (978) 495-2607 | Jaclyn Dubois, CNM
14502 W Meeker Blvd,
Sun City West, AZ 85375-5282
Ph: (623) 524-4000 |
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