Mrs Jill Ann Pool, PA-C is a medicare enrolled "Physician Assistant" in Riverton, Kansas. Her current practice location is
6610 Se Quakervale Rd, Riverton, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 848-2300.
Mrs Jill Ann Pool is licensed to practice in Kansas (license number 15-01209) 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 1497934731.
Provider's Profile
| Full Name | Mrs Jill Ann Pool |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 6610 Se Quakervale Rd, Riverton, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497934731
- Provider Enumeration Date: 11/02/2007
- Last Update Date: 11/13/2013
Medicare PECOS Information:
- PECOS PAC ID: 4082704374
- Enrollment ID: I20071227000208
Medical Identifiers
Medical identifiers for Mrs Jill Ann Pool such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1497934731 | NPI | - | NPPES |
| 200535880C | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 15-01209 (Kansas) | 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 Jill Ann Pool allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Hospital Columbus |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1871829812 PECOS PAC ID: 4880735919 Enrollment ID: O20100111000619 |
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| Entity Name | Mercy Hospital Columbus |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619203452 PECOS PAC ID: 4880735919 Enrollment ID: O20100116000185 |
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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 Jill Ann Pool 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 Jill Ann Pool, PA-C 6610 Se Quakervale Rd, Riverton, KS 66770-4185 Ph: (620) 848-2300 | Mrs Jill Ann Pool, PA-C 6610 Se Quakervale Rd, Riverton, KS 66770-4185 Ph: (620) 848-2300 |
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