Jacque Chirico, CRN is a medicare enrolled "Nurse Practitioner" in Brundidge, Alabama. Her current practice location is
664 Business Highway 231, Brundidge, Alabama. You can reach out to her office (for appointments etc.) via phone at
(334) 735-0116.
Jacque Chirico is licensed to practice in Alabama (license number 1-061240) 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 1497776561.
Provider's Profile
Full Name | Jacque Chirico |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 664 Business Highway 231, Brundidge, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497776561
- Provider Enumeration Date: 07/22/2006
- Last Update Date: 06/24/2008
Medicare PECOS Information:
- PECOS PAC ID: 3577586957
- Enrollment ID: I20060111001049
Medical Identifiers
Medical identifiers for Jacque Chirico such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497776561 | NPI | - | NPPES |
051557146 | Medicaid | AL | |
CG4892 | Other | AL | MCARE B RAILROAD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 1-061240 (Alabama) | 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. Jacque Chirico allows following entities to bill medicare on her behalf.
Entity Name | Pike Internal Medicine Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417015918 PECOS PAC ID: 0345276242 Enrollment ID: O20050712000961 |
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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. Jacque Chirico 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 |
Jacque Chirico, CRN 664 Business Highway 231, Brundidge, AL 36010-1339 Ph: (334) 735-0116 | Jacque Chirico, CRN 664 Business Highway 231, Brundidge, AL 36010-1339 Ph: (334) 735-0116 |
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