Jolane Sue Conklin, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Fulton, Michigan. She graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Nottawaseppi Huron Band Of The Potawatomi and her current practice location is
2221 1 1/2 Mile Rd, Fulton, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 729-4422.
Jolane Sue Conklin is licensed to practice in Michigan (license number 4704245491) 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 1669775821.
Provider's Profile
| Full Name | Jolane Sue Conklin |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 2221 1 1/2 Mile Rd, Fulton, Michigan |
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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:
- Jolane Sue Conklin graduated from nursing school in 2010
NPI Data:
- NPI Number: 1669775821
- Provider Enumeration Date: 12/09/2010
- Last Update Date: 02/26/2013
Medicare PECOS Information:
- PECOS PAC ID: 8123266335
- Enrollment ID: I20130530000021
Medical Identifiers
Medical identifiers for Jolane Sue Conklin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669775821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 4704245491 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nottawaseppi Huron Band Of The Potawatomi | 2769441286 | 9 |
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. Jolane Sue Conklin allows following entities to bill medicare on her behalf.
| Entity Name | Nottawaseppi Huron Band Of The Potawatomi |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770500548
PECOS PAC ID: 2769441286
Enrollment ID: O20041008000724 |
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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. Jolane Sue Conklin 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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Jolane Sue Conklin, NP-C
2221 1 1/2 Mile Rd,
Fulton, MI 49052-9632
Ph: (269) 729-4422 | Jolane Sue Conklin, NP-C
2221 1 1/2 Mile Rd,
Fulton, MI 49052-9632
Ph: (269) 729-4422 |
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