Jamie Jo Haddock, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Elgin, Oregon. Her current practice location is
570 S 8th Ave, Elgin, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 437-2273.
Jamie Jo Haddock is licensed to practice in Oregon (license number 201404025NP-PP) 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 1396151940.
Provider's Profile
| Full Name | Jamie Jo Haddock |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 570 S 8th Ave, Elgin, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396151940
- Provider Enumeration Date: 07/03/2014
- Last Update Date: 07/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 5496972580
- Enrollment ID: I20140813002289
Medical Identifiers
Medical identifiers for Jamie Jo Haddock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396151940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 201404025NP-PP (Oregon) | 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. Jamie Jo Haddock allows following entities to bill medicare on her behalf.
| Entity Name | Grande Ronde Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758 |
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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. Jamie Jo Haddock 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 |
Jamie Jo Haddock, NP-C Po Box 3290, La Grande, OR 97850-7290 Ph: (541) 963-1967 | Jamie Jo Haddock, NP-C 570 S 8th Ave, Elgin, OR 97827 Ph: (541) 437-2273 |
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