Jacqueline Anders, FNP is a medicare enrolled "Nurse Practitioner - Family" in North Webster, Indiana. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kosciusko Medical Group Llc and her current practice location is
614 N Main St, North Webster, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 834-7677.
Jacqueline Anders is licensed to practice in Indiana (license number 28157053A) 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 1881075877.
Provider's Profile
| Full Name | Jacqueline Anders |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 614 N Main St, North Webster, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jacqueline Anders graduated from nursing school in 2015
NPI Data:
- NPI Number: 1881075877
- Provider Enumeration Date: 06/15/2015
- Last Update Date: 10/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 3577878131
- Enrollment ID: I20150812007033
Medical Identifiers
Medical identifiers for Jacqueline Anders such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1881075877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 28157053A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Kosciusko Medical Group Llc | 5496809956 | 35 |
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. Jacqueline Anders allows following entities to bill medicare on her behalf.
| Entity Name | Kosciusko Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932349594 PECOS PAC ID: 5496809956 Enrollment ID: O20090818000398 |
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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. Jacqueline Anders 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 |
Jacqueline Anders, FNP 614 N Main St, North Webster, IN 46555-9364 Ph: (574) 834-7677 | Jacqueline Anders, FNP 614 N Main St, North Webster, IN 46555-9364 Ph: (574) 834-7677 |
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