Jacqueline S Phillip, in Staten Island, NY - Medicare Nurse Practitioner

Jacqueline S Phillip, is a medicare enrolled "Nurse Practitioner" in Staten Island, New York. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Shakespeare Operating Llc, Essen Medical Associates, Pc and her current practice location is 1915 Forest Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 981-3136.

Jacqueline S Phillip is licensed to practice in New York (license number F405202-1) 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 1821879867.

Contact Information

	Jacqueline S Phillip,
	1915 Forest Ave, Staten Island, NY 10303-2127
	(718) 981-3136
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline S Phillip
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1915 Forest Ave, Staten Island, New York
Accepts Medicare Assignments	Yes. 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 S Phillip graduated from nursing school in 2021

NPI Data:

NPI Number: 1821879867
Provider Enumeration Date: 10/06/2023
Last Update Date: 10/06/2023

Medicare PECOS Information:

PECOS PAC ID: 9133636871
Enrollment ID: I20250729000091

Medical Identifiers

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

Identifier	Type	State	Issuer
1821879867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	F405202-1 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shakespeare Operating Llc	0840604310	132
Essen Medical Associates, Pc	1759353501	274

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 S Phillip 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 S Phillip, 42 Hancock Ln, Manalapan, NJ 07726-8911 Ph: (732) 403-9107	Jacqueline S Phillip, 1915 Forest Ave, Staten Island, NY 10303-2127 Ph: (718) 981-3136

Reviews and Comments

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Jacqueline S Phillip, - Medicare Nurse Practitioner in Staten Island, NY