Jacqueline Ann Suppan, MSN, CNS in Canton, OH - Medicare Certified Clinical Nurse Specialist (cns)

Jacqueline Ann Suppan, MSN, CNS is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Canton, Ohio. She graduated from nursing school in 2001 and has 24 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Wooster Clinic Llc and her current practice location is 733 Market Ave S, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 489-4600.

Jacqueline Ann Suppan is licensed to practice in Ohio (license number CTP-06570) 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 1124084777.

Contact Information

	Jacqueline Ann Suppan, MSN, CNS
	733 Market Ave S, Canton, OH 44702-2165
	(330) 489-4600
	(216) 229-2642

Map and Direction

Provider's Profile

Full Name	Jacqueline Ann Suppan
Gender	Female
Speciality	Certified Clinical Nurse Specialist (cns)
Experience	24 Years
Location	733 Market Ave S, Canton, Ohio
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 Ann Suppan graduated from nursing school in 2001

NPI Data:

NPI Number: 1124084777
Provider Enumeration Date: 04/24/2006
Last Update Date: 04/30/2020

Medicare PECOS Information:

PECOS PAC ID: 0547317562
Enrollment ID: I20090409000043

Medical Identifiers

Medical identifiers for Jacqueline Ann Suppan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124084777	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SA2200X	Clinical Nurse Specialist - Adult Health	CTP-06570 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cleveland Clinic	Cleveland, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wooster Clinic Llc	6800708124	367

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 Ann Suppan allows following entities to bill medicare on her behalf.

Entity Name	The Cleveland Clinic Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049

Entity Name	Wooster Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578

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 Ann Suppan 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 Ann Suppan, MSN, CNS 2825 E Paradise Street Ext, Orrville, OH 44667-9621 Ph: (330) 683-2408	Jacqueline Ann Suppan, MSN, CNS 733 Market Ave S, Canton, OH 44702-2165 Ph: (330) 489-4600

Reviews and Comments

Clinical Nurse Specialist Nurses in Canton, OH

Merita Konstantacos, RN,MSN, CCNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 2600 6th St Sw, Canton, OH 44710 Phone: 330-363-1342
Sharon A Hoopingarner, CNP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 624 Market Ave N, Canton, OH 44702 Phone: 330-493-4553 Fax: 330-493-3761
Patricia Anne Campos, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2600 6th St Sw, Canton, OH 44710 Phone: 330-452-9911
Joanne M Vaccani, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 624 Market Ave N, Canton, OH 44702 Phone: 330-493-4553 Fax: 330-493-3761
Danene Kirksey, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2323 Penn Place Northeast, Canton, OH 44704 Phone: 330-453-3336
Debra Jo Young, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 2600 6th St Sw, Canton, OH 44710 Phone: 330-363-5442

Jacqueline Ann Suppan, MSN, CNS - Medicare Certified Clinical Nurse Specialist (cns) in Canton, OH