Mrs Jaclyn Nicole Bland, PA-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Nutter Fort, West Virginia. She graduated from nursing school in 2003 and has 22 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Bridgeport Behavioral Clinic and her current practice location is
200 Route 98 W St, 310, Nutter Fort, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(302) 624-0980.
Mrs Jaclyn Nicole Bland is licensed to practice in West Virginia (license number 01038) 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 1831308527.
Provider's Profile
| Full Name | Mrs Jaclyn Nicole Bland |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 22 Years |
|---|
| Location | 200 Route 98 W St, Nutter Fort, West Virginia |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mrs Jaclyn Nicole Bland graduated from nursing school in 2003
NPI Data:
- NPI Number: 1831308527
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8729069950
- Enrollment ID: I20040525001021
Medical Identifiers
Medical identifiers for Mrs Jaclyn Nicole Bland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831308527 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 01038 (West Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Bridgeport Behavioral Clinic | 3375534639 | 6 |
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 Nicole Bland 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 |
|---|
Mrs Jaclyn Nicole Bland, PA-C
200 Route 98 W St, 310,
Nutter Fort, WV 26301-4385
Ph: (302) 624-0980 | Mrs Jaclyn Nicole Bland, PA-C
200 Route 98 W St, 310,
Nutter Fort, WV 26301-4385
Ph: (302) 624-0980 |
Reviews and Comments