Jaclyn Nicole Anderson, PA - Medicare Physician Assistant in Ypsilanti, MI

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Jaclyn Nicole Anderson, PA is a medicare enrolled "Physician Assistant" in Ypsilanti, Michigan. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Iha Health Services Corporation and her current practice location is 5333 Mcauley Drive, Ypsilanti, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 712-3971.

Jaclyn Nicole Anderson is licensed to practice in Michigan (license number 5601007235) 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 1477950095.

Contact Information

Jaclyn Nicole Anderson, PA
5333 Mcauley Drive,
Ypsilanti, MI 48197
(734) 712-3971
(734) 887-8941

Map and Direction




Provider's Profile

Full NameJaclyn Nicole Anderson
GenderFemale
SpecialityPhysician Assistant
Experience12 Years
Location5333 Mcauley Drive, Ypsilanti, 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 Nicole Anderson graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1477950095
  • Provider Enumeration Date: 11/25/2014
  • Last Update Date: 01/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7911225214
  • Enrollment ID: I20150417000136

Medical Identifiers

Medical identifiers for Jaclyn Nicole Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477950095NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601007235 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trinity Health Ann Arbor HospitalYpsilanti, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Iha Health Services Corporation24663514401149

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 Nicole Anderson allows following entities to bill medicare on her behalf.
Entity NameIha Health Services Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457408965
PECOS PAC ID: 2466351440
Enrollment ID: O20040108000355
Entity NameChelsea Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912947409
PECOS PAC ID: 0648171074
Enrollment ID: O20040119000004
Entity NameEpmg of Michigan PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386688992
PECOS PAC ID: 4789596339
Enrollment ID: O20040211000686
Entity NameSt Joseph Mercy Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659499705
PECOS PAC ID: 3779489281
Enrollment ID: O20040226001002
Entity NameSaint Joseph Mercy Livingston Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285753236
PECOS PAC ID: 8628964525
Enrollment ID: O20040301000934
Entity NameHospitalist Physicians Medical Group of Michigan, PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003978867
PECOS PAC ID: 4688778228
Enrollment ID: O20070409000434

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 Nicole Anderson 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 Nicole Anderson, PA
24 Frank Lloyd Wright Drive, J2000,
Ann Arbor, MI 48105

Ph: (734) 747-6766		Jaclyn Nicole Anderson, PA
5333 Mcauley Drive,
Ypsilanti, MI 48197

Ph: (734) 712-3971

Reviews and Comments


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Layan Abbasi, PA-C
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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.