Jacquelyn Frances Street, PA-C in Elyria, OH - Medicare Physician Assistant

Jacquelyn Frances Street, PA-C is a medicare enrolled "Physician Assistant" in Elyria, Ohio. Her current practice location is 630 E River St, Elyria, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 329-7450.

Jacquelyn Frances Street is licensed to practice in Ohio (license number 50.004895RX) 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 1073064374.

Contact Information

	Jacquelyn Frances Street, PA-C
	630 E River St, Elyria, OH 44035-5902
	(440) 329-7450
	(440) 988-6953

Map and Direction

Provider's Profile

Full Name	Jacquelyn Frances Street
Gender	Female
Speciality	Physician Assistant
Location	630 E River St, Elyria, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073064374
Provider Enumeration Date: 10/21/2016
Last Update Date: 10/21/2016

Medicare PECOS Information:

PECOS PAC ID: 5294014239
Enrollment ID: I20161116000889

Medical Identifiers

Medical identifiers for Jacquelyn Frances Street such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073064374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	50.004895RX (Ohio)	Primary

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. Jacquelyn Frances Street 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
Jacquelyn Frances Street, PA-C 630 E River St, Elyria, OH 44035-5902 Ph: (440) 329-7450	Jacquelyn Frances Street, PA-C 630 E River St, Elyria, OH 44035-5902 Ph: (440) 329-7450

Reviews and Comments

Physician Assistant Nurses in Elyria, OH

Mr. James R. Roe, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Emh Regional Medical Center, 630 East River St., Elyria, OH 44035 Phone: 440-329-7500
William Brown, Physician Assistant Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-326-5414
Mrs. Audrey Havens, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 125 E Broad St, Elyria, OH 44035 Phone: 440-406-5500
Clara Wilson, C- PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1120 E Broad St, Elyria, OH 44035 Phone: 440-365-2600 Fax: 440-366-5543
Rachael Lee Ray, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500
Jacob E Barnes, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7450

Jacquelyn Frances Street, PA-C - Medicare Physician Assistant in Elyria, OH