Jaclyn Lee Eastman, in Fort Myers, FL - Medicare Nurse Practitioner

Jaclyn Lee Eastman, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Myers, Florida. Her current practice location is 14099 Pine Lodge Ln, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (774) 266-3419.

Jaclyn Lee Eastman is licensed to practice in Florida (license number 11037853) 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 1073319018.

Contact Information

	Jaclyn Lee Eastman,
	14099 Pine Lodge Ln, Fort Myers, FL 33913-9470
	(774) 266-3419
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclyn Lee Eastman
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	14099 Pine Lodge Ln, Fort Myers, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073319018
Provider Enumeration Date: 02/20/2025
Last Update Date: 02/20/2025

Medicare PECOS Information:

PECOS PAC ID: 9931623261
Enrollment ID: I20250408003404

Medical Identifiers

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

Identifier	Type	State	Issuer
1073319018	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	11037853 (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. Jaclyn Lee Eastman allows following entities to bill medicare on her behalf.

Entity Name	Mentus Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700533536 PECOS PAC ID: 0143602110 Enrollment ID: O20220808002082

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 Lee Eastman 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 Lee Eastman, 14099 Pine Lodge Ln, Fort Myers, FL 33913-9470 Ph: (774) 266-3419	Jaclyn Lee Eastman, 14099 Pine Lodge Ln, Fort Myers, FL 33913-9470 Ph: (774) 266-3419

Reviews and Comments

Nurse Practitioner Nurses in Fort Myers, FL

Dr. Otniel Hernandez, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43 Barkley Cir Ste 201, Fort Myers, FL 33907 Phone: 239-603-7303 Fax: 239-603-7107
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April Stewart Stowers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13782 Plantation Rd Ste 201, Fort Myers, FL 33912 Phone: 239-343-1100 Fax: 239-343-1101
Ivon Gonzalez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 420, Fort Myers, FL 33912 Phone: 239-215-4064 Fax: 239-215-4063
Sarah Elizabeth Long, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9241 Park Royal Dr, Fort Myers, FL 33908 Phone: 239-985-2700
Denise M Mcpherson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5225 Clayton Ct, Fort Myers, FL 33907 Phone: 239-343-8250 Fax: 239-343-8249

Jaclyn Lee Eastman, - Medicare Nurse Practitioner in Fort Myers, FL