Jacqueline Blanch, APRN in Phoenix, AZ - Medicare Nurse Practitioner

Jacqueline Blanch, APRN is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. Her current practice location is 2601 E Roosevelt St, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 470-5000.

Jacqueline Blanch is licensed to practice in Arizona (license number 285348) 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 1386012631.

Contact Information

	Jacqueline Blanch, APRN
	2601 E Roosevelt St, Phoenix, AZ 85008-4973
	(602) 470-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Blanch
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2601 E Roosevelt St, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386012631
Provider Enumeration Date: 09/03/2015
Last Update Date: 04/13/2023

Medicare PECOS Information:

PECOS PAC ID: 1153796743
Enrollment ID: I20230413000612

Medical Identifiers

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

Identifier	Type	State	Issuer
1386012631	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	285348 (Arizona)	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. Jacqueline Blanch allows following entities to bill medicare on her behalf.

Entity Name	Maricopa County Special Health Care District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073576740 PECOS PAC ID: 4688583651 Enrollment ID: O20031204000823

Entity Name	District Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583

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 Blanch 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 Blanch, APRN 2929 E Thomas Rd, Phoenix, AZ 85016-8034 Ph: (602) 470-5000	Jacqueline Blanch, APRN 2601 E Roosevelt St, Phoenix, AZ 85008-4973 Ph: (602) 470-5000

Reviews and Comments

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Jacqueline Blanch, APRN - Medicare Nurse Practitioner in Phoenix, AZ