Jacqueline Kienholz, PA - Medicare Physician Assistant in Gilbert, AZ

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Jacqueline Kienholz, PA is a medicare enrolled "Surgery - Surgical Oncology" in Gilbert, Arizona. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Banner Cancer Center Specialists Llc and her current practice location is Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 256-6444.

Jacqueline Kienholz is licensed to practice in Arizona (license number 5467) 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 1649618356.

Contact Information

Jacqueline Kienholz, PA
Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive,
Gilbert, AZ 85234
(480) 256-6444
(480) 256-3682

Map and Direction




Provider's Profile

Full NameJacqueline Kienholz
GenderFemale
SpecialityPhysician Assistant
Experience14 Years
LocationBanner Md Anderson Cancer Center, Gilbert, Arizona
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 Kienholz graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1649618356
  • Provider Enumeration Date: 06/05/2013
  • Last Update Date: 03/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4688804735
  • Enrollment ID: I20140311001291

Medical Identifiers

Medical identifiers for Jacqueline Kienholz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649618356NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA22903 (California)Secondary
363AS0400XPhysician Assistant - Surgical 5467 (Arizona)Secondary
364SF0001XClinical Nurse Specialist - Family Health PA22903 (California)Secondary
2086X0206XSurgery - Surgical Oncology 5467 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Gateway Medical CenterGilbert, AZHospital
Banner Thunderbird Medical CenterGlendale, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner Cancer Center Specialists Llc6103097779343

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 Kienholz allows following entities to bill medicare on her behalf.
Entity NameDistrict Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336472448
PECOS PAC ID: 7315086691
Enrollment ID: O20091125000583
Entity NameBanner Cancer Center Specialists LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518253152
PECOS PAC ID: 6103097779
Enrollment ID: O20110913000224
Entity NameBanner Physician Specialists Arizona LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821368218
PECOS PAC ID: 6204002272
Enrollment ID: O20111222000509
Entity NameBanner Physician Super Specialists Arizona LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841573870
PECOS PAC ID: 7911173794
Enrollment ID: O20111228000353

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 Kienholz 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 Kienholz, PA
Banner Md Anderson Cancer Center, 2940 E. Banner Gateway Drive,
Gilbert, AZ 85234

Ph: (480) 256-6444		Jacqueline Kienholz, PA
Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive,
Gilbert, AZ 85234

Ph: (480) 256-6444

Reviews and Comments



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.