Jacolin Dehler Shifrar, CNM is a medicare enrolled "Advanced Practice Midwife" in West Jordan, Utah. Her current practice location is
3570 W 9000 S, #210, West Jordan, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 569-2626.
Jacolin Dehler Shifrar is licensed to practice in Utah (license number 201432-4402) 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 1134261209.
Provider's Profile
| Full Name | Jacolin Dehler Shifrar |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 3570 W 9000 S, West Jordan, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134261209
- Provider Enumeration Date: 02/13/2007
- Last Update Date: 02/22/2012
Medicare PECOS Information:
- PECOS PAC ID: 4082890884
- Enrollment ID: I20110511000835
Medical Identifiers
Medical identifiers for Jacolin Dehler Shifrar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134261209 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 201432-4402 (Utah) | 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. Jacolin Dehler Shifrar allows following entities to bill medicare on her behalf.
| Entity Name | South Valley Women's Health Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750460259
PECOS PAC ID: 7810927241
Enrollment ID: O20050816000630 |
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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. Jacolin Dehler Shifrar 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 |
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Jacolin Dehler Shifrar, CNM
3570 W 9000 S, #210,
West Jordan, UT 84088-8876
Ph: (801) 569-2626 | Jacolin Dehler Shifrar, CNM
3570 W 9000 S, #210,
West Jordan, UT 84088-8876
Ph: (801) 569-2626 |
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