Dr Jacqueline Agnes Jennings, OD is a medicare enrolled "Optometrist" provider in La Grange, Kentucky. She went to University Of Alabama School Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Clarkson Optometry Midwest Inc and her current practice location is
1917 S Highway 53, La Grange, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 225-0301.
Dr Jacqueline Agnes Jennings is licensed to practice in Kentucky (license number 2145DT) 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 1245892645.
Healthcare Provider's Profile
| Full Name | Dr Jacqueline Agnes Jennings |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 6 Years |
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| Location | 1917 S Highway 53, La Grange, Kentucky |
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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. |
Medical Education and Training:
- Dr Jacqueline Agnes Jennings attended and graduated from University Of Alabama School Of Medicine in 2019
NPI Data:
- NPI Number: 1245892645
- Provider Enumeration Date: 07/05/2019
- Last Update Date: 10/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446581896
- Enrollment ID: I20200421002930
Medical Identifiers
Medical identifiers for Dr Jacqueline Agnes Jennings such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245892645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | 2145DT (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Clarkson Optometry Midwest Inc | 0749504165 | 68 |
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. Dr Jacqueline Agnes Jennings allows following entities to bill medicare on her behalf.
| Provider Name | Clarkson Optometry Midwest Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073917597 PECOS PAC ID: 0749504165 Enrollment ID: O20160526000461 |
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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. Dr Jacqueline Agnes Jennings 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 |
Dr Jacqueline Agnes Jennings, OD 1917 S Highway 53, La Grange, KY 40031-8512 Ph: (502) 225-0301 | Dr Jacqueline Agnes Jennings, OD 1917 S Highway 53, La Grange, KY 40031-8512 Ph: (502) 225-0301 |
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