Mrs Jaclyn Emma Ulzheimer, NP-C is a medicare enrolled "Nurse Practitioner - Gerontology" in Haledon, New Jersey. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Medical Associates Of Englewood Pc and her current practice location is
397 Haledon Ave Ste 103, Haledon, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 782-4871.
Mrs Jaclyn Emma Ulzheimer is licensed to practice in New Jersey (license number AG01190175) 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 1730644873.
Provider's Profile
| Full Name | Mrs Jaclyn Emma Ulzheimer |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 397 Haledon Ave Ste 103, Haledon, New Jersey |
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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:
- Mrs Jaclyn Emma Ulzheimer graduated from nursing school in 2018
NPI Data:
- NPI Number: 1730644873
- Provider Enumeration Date: 02/03/2019
- Last Update Date: 04/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 2860734332
- Enrollment ID: I20190502001479
Medical Identifiers
Medical identifiers for Mrs Jaclyn Emma Ulzheimer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730644873 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | AG01190175 (New Jersey) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | AG01190175 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Medical Associates Of Englewood Pc | 1355512252 | 519 |
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. Mrs Jaclyn Emma Ulzheimer allows following entities to bill medicare on her behalf.
| Entity Name | Optum Medical Care Of New Jersey Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578665048
PECOS PAC ID: 3072650290
Enrollment ID: O20091021000129 |
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| Entity Name | Medical Associates Of Englewood Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952681918
PECOS PAC ID: 1355512252
Enrollment ID: O20110927000020 |
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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. Mrs Jaclyn Emma Ulzheimer 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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Mrs Jaclyn Emma Ulzheimer, NP-C
16 Glen Pl,
Old Tappan, NJ 07675-6904
Ph: () - | Mrs Jaclyn Emma Ulzheimer, NP-C
397 Haledon Ave Ste 103,
Haledon, NJ 07508-1551
Ph: (973) 782-4871 |
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