Miss Jacqueline Elizabeth Nurse, NP - Medicare Nurse Practitioner in Lake Mary, FL

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Miss Jacqueline Elizabeth Nurse, NP is a medicare enrolled "Nurse Practitioner" in Lake Mary, Florida. Her current practice location is 652 Canyon Stone Cir, Lake Mary, Florida. You can reach out to her office (for appointments etc.) via phone at (772) 333-4298.

Miss Jacqueline Elizabeth Nurse is licensed to practice in Florida (license number ARNP2784612) 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 1689106254.

Contact Information

Miss Jacqueline Elizabeth Nurse, NP
652 Canyon Stone Cir,
Lake Mary, FL 32746-3978
(772) 333-4298
Not Available

Map and Direction




Provider's Profile

Full NameMiss Jacqueline Elizabeth Nurse
GenderFemale
SpecialityNurse Practitioner
Location652 Canyon Stone Cir, Lake Mary, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689106254
  • Provider Enumeration Date: 04/01/2017
  • Last Update Date: 04/01/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1951678929
  • Enrollment ID: I20170522002901

Medical Identifiers

Medical identifiers for Miss Jacqueline Elizabeth Nurse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689106254NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner ARNP2784612 (Florida)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. Miss Jacqueline Elizabeth Nurse allows following entities to bill medicare on her behalf.
Entity NameJoseph J Katta Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427090224
PECOS PAC ID: 0244311553
Enrollment ID: O20080528000559
Entity NameTlc Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972048536
PECOS PAC ID: 5597041657
Enrollment ID: O20170404002429
Entity NameUltra Health Providers Of Florida
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528549490
PECOS PAC ID: 9335487255
Enrollment ID: O20190219000020
Entity NameEpisource Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225390289
PECOS PAC ID: 7911009451
Enrollment ID: O20200515002219

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. Miss Jacqueline Elizabeth Nurse 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
Miss Jacqueline Elizabeth Nurse, NP
652 Canyon Stone Cir,
Lake Mary, FL 32746-3978

Ph: (772) 333-4298		Miss Jacqueline Elizabeth Nurse, NP
652 Canyon Stone Cir,
Lake Mary, FL 32746-3978

Ph: (772) 333-4298

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.