Jacqueline Lavelle Patel, DNP in Joppa, MD - Medicare Nurse Practitioner

Jacqueline Lavelle Patel, DNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Joppa, Maryland. Her current practice location is 1015 Pulaski Hwy, Joppa, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 743-0497.

Jacqueline Lavelle Patel is licensed to practice in Maryland (license number R118542) 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 1366702862.

Contact Information

	Jacqueline Lavelle Patel, DNP
	1015 Pulaski Hwy, Joppa, MD 21085-3918
	(443) 743-0497
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Lavelle Patel
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1015 Pulaski Hwy, Joppa, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366702862
Provider Enumeration Date: 05/18/2012
Last Update Date: 03/04/2025

Medicare PECOS Information:

PECOS PAC ID: 5092740738
Enrollment ID: I20051018000142

Medical Identifiers

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

Identifier	Type	State	Issuer
1366702862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	R118542 (Maryland)	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 Lavelle Patel allows following entities to bill medicare on her behalf.

Entity Name	Azra A Ahmed Md/pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295916724 PECOS PAC ID: 6507934395 Enrollment ID: O20081007000253

Entity Name	Matclinic Physicians Practice Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104375294 PECOS PAC ID: 3274804349 Enrollment ID: O20170808001490

Entity Name	Villagehealth Dm Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598273211 PECOS PAC ID: 2769812445 Enrollment ID: O20211012000432

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 Lavelle Patel 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 Lavelle Patel, DNP 6116 Adcock Ln, Hanover, MD 21076-1061 Ph: (443) 743-0497	Jacqueline Lavelle Patel, DNP 1015 Pulaski Hwy, Joppa, MD 21085-3918 Ph: (443) 743-0497

Reviews and Comments

Nurse Practitioner Nurses in Joppa, MD

Kirsi Johanna Hadley, MSN, RN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1312 Stockton Rd, Joppa, MD 21085 Phone: 443-616-1965
Ikechi Dike, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 Pulaski Hwy Ste 201, Joppa, MD 21085 Phone: 410-593-7556 Fax: 410-510-7958
Mrs. Sonita Nulla, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1518 Philadelphia Rd, Joppa, MD 21085 Phone: 240-705-3324
Elsie Antwiwaa Tweneboah-koduah, DNP,CRNP,PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 317 Spry Island Rd, Joppa, MD 21085 Phone: 667-434-6218
Ursula Nkeiru Ezedike, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 Joppa Crossing Way, Joppa, MD 21085 Phone: 410-916-4826
Mrs. Sandra N Ferguson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1518 Philadelphia Rd, Joppa, MD 21085 Phone: 443-840-9478 Fax: 410-538-5510
Hellen Perpetual Nyamu, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 217 Brittany Dr, Joppa, MD 21085 Phone: 443-616-5892

Jacqueline Lavelle Patel, DNP - Medicare Nurse Practitioner in Joppa, MD