Jacqueline Lynette De La Garza, FNP-C in Kamuela, HI

Jacqueline Lynette De La Garza, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Kamuela, Hawaii. Her current practice location is 67-1123 Mamalahoa Hwy Ste 120124, Kamuela, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 881-4710.

Jacqueline Lynette De La Garza is licensed to practice in Hawaii (license number APRN-3777) 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 1063111391.

Contact Information

	Jacqueline Lynette De La Garza, FNP-C
	67-1123 Mamalahoa Hwy Ste 120124, Kamuela, HI 96743-8451
	(808) 881-4710
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Lynette De La Garza
Gender	Female
Speciality	Nurse Practitioner - Family
Location	67-1123 Mamalahoa Hwy Ste 120124, Kamuela, Hawaii
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063111391
Provider Enumeration Date: 02/27/2023
Last Update Date: 07/02/2024

Medicare PECOS Information:

PECOS PAC ID: 6305294737
Enrollment ID: I20231127000596

Medical Identifiers

Medical identifiers for Jacqueline Lynette De La Garza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063111391	NPI	-	NPPES
RN-106817	Other	HI	HI RN LICENSURE
APRN-3777	Other	HI	APRN LICENSURE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN-106817 (Hawaii)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN-3777 (Hawaii)	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 Lynette De La Garza allows following entities to bill medicare on her behalf.

Entity Name	Queens North Hawaii Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528049814 PECOS PAC ID: 0143116293 Enrollment ID: O20040225000562

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 Lynette De La Garza 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 Lynette De La Garza, FNP-C General Delivery, Volcano, HI 96785-9999 Ph: (808) 430-0654	Jacqueline Lynette De La Garza, FNP-C 67-1123 Mamalahoa Hwy Ste 120124, Kamuela, HI 96743-8451 Ph: (808) 881-4710

Reviews and Comments

Nurse Practitioner Nurses in Kamuela, HI

Ms. Kathleen A Commendador, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 65-1267 Kawaihae Rd, Kamuela, HI 96743 Phone: 808-885-9606 Fax: 808-885-9506
Mrs. Jennifer Lea Myers Shotwell, MSN CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 64-1032 Mamalahoa Hwy, Suite 204, Kamuela, HI 96743 Phone: 808-887-6543 Fax: 808-887-6294
Neeva Lemmel-duerr, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 64-1032 Mamalahoa Hwy Ste 204, Kamuela, HI 96743 Phone: 808-887-6543 Fax: 808-887-6294
Nicholas Vandenraadt, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 67-1125 Mamalahoa Hwy, Kamuela, HI 96743 Phone: 808-881-4799
Mrs. Shannon Kristine Richards, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 64-1032 Mamalahoa Hwy Ste 306, Kamuela, HI 96743 Phone: 808-769-5010 Fax: 808-829-3603
Mrs. Robin E Ramsay, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65-1267 Kawaihae Rd, Kamuela, HI 96743 Phone: 808-888-5960 Fax: 808-885-9506
Jamie Leigh Deuchler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 64-1032 Mamalahoa Hwy, Kamuela, HI 96743 Phone: 808-885-1878 Fax: 808-887-1857

Jacqueline Lynette De La Garza, FNP-C - Medicare Nurse Practitioner in Kamuela, HI