Jacqueline Sielaff, in Crestwood, IL - Medicare Nurse Practitioner

Jacqueline Sielaff, is a medicare enrolled "Nurse Practitioner" in Crestwood, Illinois. Her current practice location is 4736 Cal Sag Rd Ste A, Crestwood, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 390-7001.

Jacqueline Sielaff is licensed to practice in Illinois (license number 209029794) 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 1083455430.

Contact Information

	Jacqueline Sielaff,
	4736 Cal Sag Rd Ste A, Crestwood, IL 60418-1423
	(708) 390-7001
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Sielaff
Gender	Female
Speciality	Nurse Practitioner
Location	4736 Cal Sag Rd Ste A, Crestwood, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083455430
Provider Enumeration Date: 05/31/2024
Last Update Date: 01/28/2026

Medicare PECOS Information:

PECOS PAC ID: 8729522370
Enrollment ID: I20240708000266

Medical Identifiers

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

Identifier	Type	State	Issuer
1083455430	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209029794 (Illinois)	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 Sielaff allows following entities to bill medicare on her behalf.

Entity Name	Midwest Express Care 2 Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548692890 PECOS PAC ID: 0547495467 Enrollment ID: O20131031001375

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 Sielaff 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 Sielaff, 4736 Cal Sag Rd Ste A, Crestwood, IL 60418-1423 Ph: (708) 390-7001	Jacqueline Sielaff, 4736 Cal Sag Rd Ste A, Crestwood, IL 60418-1423 Ph: (708) 390-7001

Reviews and Comments

Nurse Practitioner Nurses in Crestwood, IL

Dr. Christina J Wagener, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5419 135th St, Crestwood, IL 60418 Phone: 708-358-7300
Kristine Asuncion, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13755 Cicero Ave, Crestwood, IL 60418 Phone: 708-385-2400 Fax: 708-385-8130
Anastasia Ruschke, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13448 Cicero Ave, Crestwood, IL 60418 Phone: 708-682-3384
Anne Marie Horne, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14255 Cicero Ave, Crestwood, IL 60418 Phone: 708-371-0400
Mr. Bayo Babatunde Agbolade, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4711 Midlothian Tpke Ste 14, Crestwood, IL 60418 Phone: 779-910-8196 Fax: 708-963-0105
Jeraldene Shaffer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14255 Cicero Ave, Crestwood, IL 60445 Phone: 708-371-0400 Fax: 708-371-5871

Jacqueline Sielaff, - Medicare Nurse Practitioner in Crestwood, IL