Mrs Jacqueline Marie Hart, FNP-C in Terre Haute, IN

Mrs Jacqueline Marie Hart, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Terre Haute, Indiana. Her current practice location is 1606 N 7th St, Terre Haute, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 238-7000.

Mrs Jacqueline Marie Hart is licensed to practice in Indiana (license number 71013096A) 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 1033832407.

Contact Information

	Mrs Jacqueline Marie Hart, FNP-C
	1606 N 7th St, Terre Haute, IN 47804-2706
	(812) 238-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jacqueline Marie Hart
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1606 N 7th St, Terre Haute, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033832407
Provider Enumeration Date: 09/21/2022
Last Update Date: 09/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4880060557
Enrollment ID: I20221020002060

Medical Identifiers

Medical identifiers for Mrs Jacqueline Marie Hart such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033832407	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71013096A (Indiana)	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. Mrs Jacqueline Marie Hart allows following entities to bill medicare on her behalf.

Entity Name	Union Associated Physicians Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891028379 PECOS PAC ID: 3375687437 Enrollment ID: O20100213000002

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 Jacqueline Marie Hart 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 Jacqueline Marie Hart, FNP-C 901 Briar Ct, Spencer, IN 47460-9601 Ph: (812) 821-1311	Mrs Jacqueline Marie Hart, FNP-C 1606 N 7th St, Terre Haute, IN 47804-2706 Ph: (812) 238-7000

Reviews and Comments

Nurse Practitioner Nurses in Terre Haute, IN

David Moore Hamrick, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4757 S 7th St, Terre Haute, IN 47802 Phone: 812-234-2289 Fax: 812-232-4234
Mrs. Loretta Lucille White, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 749 Chestnut St, Terre Haute, IN 47809 Phone: 812-237-3486
Cherie G Howk, PHD, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 8th Ave, Terre Haute, IN 47804 Phone: 812-231-8323
Mrs. Ann Monken, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1739 N 4th St, Terre Haute, IN 47804 Phone: 812-242-3600
Andrea Lynn Mccoy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3560 S 4th St, Terre Haute, IN 47802 Phone: 812-235-8496
Roberta Lynn Delp, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1436 Locust St, Terre Haute, IN 47807 Phone: 812-232-7447

Mrs Jacqueline Marie Hart, FNP-C - Medicare Nurse Practitioner in Terre Haute, IN