Jaculyn Zarback, LPN - Medicare Nurse Practitioner in Cleveland, OH

Jaculyn Zarback, LPN is a medicare enrolled "Nurse Practitioner" in Cleveland, Ohio. Her current practice location is 1320 Washington Ave, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 840-4404.

Jaculyn Zarback is licensed to practice in Ohio (license number APRN.CNP.0031945) 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 1033579610.

Contact Information

Jaculyn Zarback, LPN
1320 Washington Ave,
Cleveland, OH 44113-2333
(440) 840-4404
Not Available

Map and Direction




Provider's Profile

Full NameJaculyn Zarback
GenderFemale
SpecialityNurse Practitioner
Location1320 Washington Ave, Cleveland, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033579610
  • Provider Enumeration Date: 02/25/2016
  • Last Update Date: 11/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4880047364
  • Enrollment ID: I20240131004035

Medical Identifiers

Medical identifiers for Jaculyn Zarback such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033579610NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse PN.157270-M-IV (Ohio)Secondary
363L00000XNurse Practitioner APRN.CNP.0031945 (Ohio)Primary
363LF0000XNurse Practitioner - Family APRN.CNP.0031945 (Ohio)Secondary

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. Jaculyn Zarback allows following entities to bill medicare on her behalf.
Entity NameFairview Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407953706
PECOS PAC ID: 4688571730
Enrollment ID: O20031216000909

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. Jaculyn Zarback 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 AddressPractice Location Address
Jaculyn Zarback, LPN
1320 Washington Ave,
Cleveland, OH 44113-2900

Ph: (440) 840-4404
Jaculyn Zarback, LPN
1320 Washington Ave,
Cleveland, OH 44113-2333

Ph: (440) 840-4404

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.