Jacqueline Indrisek, PA - Medicare in Port Charlotte, FL

Jacqueline Indrisek, PA is a medicare enrolled "Physician Assistant - Medical" in Port Charlotte, Florida. Her current practice location is 22655 Bayshore Rd Ste 130, Port Charlotte, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 255-3722.

Jacqueline Indrisek is licensed to practice in Florida (license number PA9108209) 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 1427442011.

Contact Information

Jacqueline Indrisek, PA
22655 Bayshore Rd Ste 130,
Port Charlotte, FL 33980-2005
(941) 255-3722
(941) 255-3723

Map and Direction




Provider's Profile

Full NameJacqueline Indrisek
GenderFemale
Speciality
Experience Years
Location22655 Bayshore Rd Ste 130, Port Charlotte, Florida
Accepts Medicare AssignmentsYes. 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 Indrisek attended and graduated from in
  NPI Data:
  • NPI Number: 1427442011
  • Provider Enumeration Date: 03/23/2015
  • Last Update Date: 06/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Jacqueline Indrisek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427442011NPI-NPPES
014722900MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA9108209 (Florida)Primary

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 Indrisek 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 AddressPractice Location Address
Jacqueline Indrisek, PA
Po Box 2147,
Fort Myers, FL 33902-2147

Ph: (941) 255-3722
Jacqueline Indrisek, PA
22655 Bayshore Rd Ste 130,
Port Charlotte, FL 33980-2005

Ph: (941) 255-3722

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.