Jaclyn Poma, in Hollywood, FL - Medicare Nurse Practitioner

Jaclyn Poma, is a medicare enrolled "Nurse Practitioner - Family" in Hollywood, Florida. Her current practice location is 3911 Hollywood Blvd Ste 201, Hollywood, Florida. You can reach out to her office (for appointments etc.) via phone at (754) 888-1368.

Jaclyn Poma is licensed to practice in Florida (license number 11034161) 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 1295563443.

Contact Information

	Jaclyn Poma,
	3911 Hollywood Blvd Ste 201, Hollywood, FL 33021-6795
	(754) 888-1368
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclyn Poma
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3911 Hollywood Blvd Ste 201, Hollywood, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295563443
Provider Enumeration Date: 07/22/2024
Last Update Date: 07/22/2024

Medicare PECOS Information:

PECOS PAC ID: 2365980737
Enrollment ID: I20240815004083

Medical Identifiers

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

Identifier	Type	State	Issuer
1295563443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11034161 (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 Poma allows following entities to bill medicare on her behalf.

Entity Name	Sami I Dagher Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144456302 PECOS PAC ID: 5597818328 Enrollment ID: O20090727000734

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 Poma 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 Poma, 5534 Atlantic Ave Apt 201, Delray Beach, FL 33484-8588 Ph: (586) 255-4232	Jaclyn Poma, 3911 Hollywood Blvd Ste 201, Hollywood, FL 33021-6795 Ph: (754) 888-1368

Reviews and Comments

Nurse Practitioner Nurses in Hollywood, FL

Mrs. Thamarre Paulino, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3702 Washington St Ste 403, Hollywood, FL 33021 Phone: 954-265-3982 Fax: 954-893-6518
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Bella Gleiser Mendez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave Ste 385, Hollywood, FL 33021 Phone: 954-265-4325
Andrea Annmarie Goulbourne-smith, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7369 Sheridan St Ste 101, Hollywood, FL 33024 Phone: 954-561-6222 Fax: 954-990-7650
Ezequiel Dishmey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 S 63rd Ave, Hollywood, FL 33023 Phone: 754-366-5831
Jose Antonio Picon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1290 Weeping Willow Way, Hollywood, FL 33019 Phone: 954-854-4069

Jaclyn Poma, - Medicare Nurse Practitioner in Hollywood, FL