Jacquelyn Kaye Free, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fairview, Montana. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sidney Health Center and her current practice location is
304 S Ellery Ave, Fairview, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 742-5261.
Jacquelyn Kaye Free is licensed to practice in Montana (license number 37798) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1336302736.
Provider's Profile
| Full Name | Jacquelyn Kaye Free |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 16 Years |
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| Location | 304 S Ellery Ave, Fairview, Montana |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacquelyn Kaye Free graduated from nursing school in 2008
NPI Data:
- NPI Number: 1336302736
- Provider Enumeration Date: 07/07/2008
- Last Update Date: 12/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 7719052067
- Enrollment ID: I20100106000161
Medical Identifiers
Medical identifiers for Jacquelyn Kaye Free such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336302736 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | R29434 (North Dakota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 37798 (Montana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sidney Health Center | 0749181535 | 63 |
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. Jacquelyn Kaye Free allows following entities to bill medicare on her behalf.
| Entity Name | Sidney Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376617191
PECOS PAC ID: 0749181535
Enrollment ID: O20040115000513 |
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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 Kaye Free 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 |
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Jacquelyn Kaye Free, FNP
304 S Ellery Ave,
Fairview, MT 59221-7210
Ph: (406) 742-5261 | Jacquelyn Kaye Free, FNP
304 S Ellery Ave,
Fairview, MT 59221-7210
Ph: (406) 742-5261 |
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