Ms Tatiana Ellen Jaacks, PA - Medicare Physician Assistant in Goodyear, AZ

Ms Tatiana Ellen Jaacks, PA is a medicare enrolled "Physician Assistant" in Goodyear, Arizona. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is 14455 W Van Buren St # 100, Goodyear, Arizona. You can reach out to her office (for appointments etc.) via phone at (248) 410-4704.

Ms Tatiana Ellen Jaacks is licensed to practice in Arizona (license number ) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1295622553.

Contact Information

Ms Tatiana Ellen Jaacks, PA
14455 W Van Buren St # 100,
Goodyear, AZ 85338-9209
(248) 410-4704
Not Available

Map and Direction




Provider's Profile

Full NameMs Tatiana Ellen Jaacks
GenderFemale
SpecialityPhysician Assistant
Experience1 Years
Location14455 W Van Buren St # 100, Goodyear, Arizona
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Tatiana Ellen Jaacks graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1295622553
  • Provider Enumeration Date: 06/19/2025
  • Last Update Date: 08/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1951886068
  • Enrollment ID: I20260326003029

Medical Identifiers

Medical identifiers for Ms Tatiana Ellen Jaacks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295622553NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (Arizona)Primary

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. Ms Tatiana Ellen Jaacks 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
Ms Tatiana Ellen Jaacks, PA
14455 W Van Buren St # 100,
Goodyear, AZ 85338-9209

Ph: () -
Ms Tatiana Ellen Jaacks, PA
14455 W Van Buren St # 100,
Goodyear, AZ 85338-9209

Ph: (248) 410-4704

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).

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