Jennifer Marie Tackitt, APRN is a medicare enrolled "Nurse Practitioner - Family" in Cusick, Washington. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kalispel Indian Community Of The Kalispel Reservation Washington and her current practice location is
1821 Leclerc Rd N Ste 1, Cusick, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 447-7111.
Jennifer Marie Tackitt is licensed to practice in Washington (license number AP60883510) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730667833.
Provider's Profile
| Full Name | Jennifer Marie Tackitt |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 1821 Leclerc Rd N Ste 1, Cusick, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jennifer Marie Tackitt graduated from nursing school in 2018
NPI Data:
- NPI Number: 1730667833
- Provider Enumeration Date: 07/31/2018
- Last Update Date: 07/31/2018
Medicare PECOS Information:
- PECOS PAC ID: 1951641752
- Enrollment ID: I20190313002817
Medical Identifiers
Medical identifiers for Jennifer Marie Tackitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730667833 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP60883510 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kalispel Indian Community Of The Kalispel Reservation Washington | 1951498922 | 7 |
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. Jennifer Marie Tackitt allows following entities to bill medicare on her behalf.
| Entity Name | Kalispel Indian Community Of The Kalispel Reservation Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396937769
PECOS PAC ID: 1951498922
Enrollment ID: O20071107000736 |
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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. Jennifer Marie Tackitt 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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Jennifer Marie Tackitt, APRN
15827 E Frideger Rd,
Elk, WA 99009-7009
Ph: (509) 292-0417 | Jennifer Marie Tackitt, APRN
1821 Leclerc Rd N Ste 1,
Cusick, WA 99119-5015
Ph: (509) 447-7111 |
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