Jacque Diane Young, OD is a medicare enrolled "Optometrist" provider in Glenwood, Iowa. She went to Illinois College Of Optometry At Chicago and graduated in 1983 and has 43 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Gle Glenwood, Llc and her current practice location is
406 1st St, Glenwood, Iowa. You can reach out to her office (for appointments etc.) via phone at
(712) 527-4468.
Jacque Diane Young is licensed to practice in Iowa (license number 1809) 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 1174503734.
Healthcare Provider's Profile
| Full Name | Jacque Diane Young |
|---|
| Gender | Female |
|---|
| Speciality | Optometry |
|---|
| Experience | 43 Years |
|---|
| Location | 406 1st St, Glenwood, Iowa |
|---|
| 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:
- Jacque Diane Young attended and graduated from Illinois College Of Optometry At Chicago in 1983
NPI Data:
- NPI Number: 1174503734
- Provider Enumeration Date: 01/19/2006
- Last Update Date: 09/28/2011
Medicare PECOS Information:
- PECOS PAC ID: 0749246056
- Enrollment ID: I20041208000846
Medical Identifiers
Medical identifiers for Jacque Diane Young such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174503734 | NPI | - | NPPES |
| 410015491 | Other | IA | RAILROAD MEDICARE |
| 0038547 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1809 (Iowa) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Gle Glenwood, Llc | 6406227305 | 3 |
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. Jacque Diane Young allows following entities to bill medicare on her behalf.
| Provider Name | Gle Glenwood, Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1821709957
PECOS PAC ID: 6406227305
Enrollment ID: O20230131001944 |
|---|
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. Jacque Diane Young 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 |
|---|
Jacque Diane Young, OD
Po Box 188, 406 1st Street,
Glenwood, IA 51534-0188
Ph: (712) 527-4468 | Jacque Diane Young, OD
406 1st St,
Glenwood, IA 51534-1706
Ph: (712) 527-4468 |
Reviews and Comments