Jaclyn Humphrey, CRNA in Westwood, MA - Medicare Nurse Anesthetist, Certified Registered

Jaclyn Humphrey, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Westwood, Massachusetts. Her current practice location is 690 Canton St, Suite 325, Westwood, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 407-7713.

Jaclyn Humphrey is licensed to practice in Massachusetts (license number 2271787) 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 1619384336.

Contact Information

	Jaclyn Humphrey, CRNA
	690 Canton St, Suite 325, Westwood, MA 02090-2321
	(781) 407-7713
	(781) 407-0998

Map and Direction

Provider's Profile

Full Name	Jaclyn Humphrey
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	690 Canton St, Westwood, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619384336
Provider Enumeration Date: 07/15/2014
Last Update Date: 07/15/2014

Medicare PECOS Information:

PECOS PAC ID: 2860610540
Enrollment ID: I20140821000137

Medical Identifiers

Medical identifiers for Jaclyn Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619384336	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	2271787 (Massachusetts)	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. Jaclyn Humphrey allows following entities to bill medicare on her behalf.

Entity Name	Woodland Anesthesia Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437109824 PECOS PAC ID: 8820083652 Enrollment ID: O20180215000067

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 Humphrey 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
Jaclyn Humphrey, CRNA 690 Canton St, Suite 325, Westwood, MA 02090-2321 Ph: (781) 407-7713	Jaclyn Humphrey, CRNA 690 Canton St, Suite 325, Westwood, MA 02090-2321 Ph: (781) 407-7713

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Westwood, MA

Laura Batalis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 690 Canton St, Suite 325, Westwood, MA 02090 Phone: 781-407-7713
Jennifer Lieneck, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 690 Canton St, Ste 325, Westwood, MA 02090 Phone: 781-407-7713 Fax: 781-407-0998
Judith Gobble, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 690 Canton St, Suite 325, Westwood, MA 02090 Phone: 781-407-7713 Fax: 781-407-0998
Amy R Bogosian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 690 Canton St, Suite 325, Westwood, MA 02090 Phone: 781-407-7713 Fax: 781-407-0998
Andrew A Madej, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 690 Canton St, Suite 325, Westwood, MA 02090 Phone: 781-407-7713 Fax: 781-407-0998
Ellen Davey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 690 Canton St, Suite 325, Westwood, MA 02090 Phone: 781-407-7713 Fax: 781-407-0998
James D Sprouse, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 690 Canton Street, Suite 325, Westwood, MA 02090 Phone: 781-407-7713 Fax: 781-407-0998

Jaclyn Humphrey, CRNA - Medicare Nurse Anesthetist, Certified Registered in Westwood, MA