Jaclyn Ann Fusco, in South Bend, IN - Medicare Nurse Practitioner

Jaclyn Ann Fusco, is a medicare enrolled "Nurse Practitioner - Pediatrics" in South Bend, Indiana. Her current practice location is 100 Navarre Pl Ste 5550, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-2550.

Jaclyn Ann Fusco is licensed to practice in Indiana (license number 202325197) 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 1063113355.

Contact Information

	Jaclyn Ann Fusco,
	100 Navarre Pl Ste 5550, South Bend, IN 46601-1169
	(574) 647-2550
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclyn Ann Fusco
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	100 Navarre Pl Ste 5550, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063113355
Provider Enumeration Date: 03/14/2023
Last Update Date: 04/02/2024

Medicare PECOS Information:

PECOS PAC ID: 3375904840
Enrollment ID: I20230731002737

Medical Identifiers

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

Identifier	Type	State	Issuer
1063113355	NPI	-	NPPES
300078118	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28265298A (Indiana)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	202325197 (Indiana)	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 Ann Fusco allows following entities to bill medicare on her behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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 Ann Fusco 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 Ann Fusco, 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-2129	Jaclyn Ann Fusco, 100 Navarre Pl Ste 5550, South Bend, IN 46601-1169 Ph: (574) 647-2550

Reviews and Comments

Nurse Practitioner Nurses in South Bend, IN

Beth Ann Hayden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 N Michigan St, Ste 400, South Bend, IN 46601 Phone: 574-647-8470 Fax: 574-647-8475
Kelly Mae Losiniecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St., South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-204-6355
Mrs. Brandice Lynn Page, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53760 Generations Dr, South Bend, IN 46635 Phone: 888-938-3838 Fax: 888-919-1083
Gina M. Connolly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 6600, South Bend, IN 46601 Phone: 574-647-8800 Fax: 574-647-8811
Amanda Lundberg, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53830 Generations Dr Ste 110, South Bend, IN 46635 Phone: 574-234-2191
Kendall Hochstedler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Northside Blvd, South Bend, IN 46615 Phone: 574-307-7673 Fax: 574-234-4706
Traci Renee Pulliam, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 615 N Michigan St Fl 4, South Bend, IN 46601 Phone: 574-647-6892 Fax: 574-647-6895

Jaclyn Ann Fusco, - Medicare Nurse Practitioner in South Bend, IN