Jacqueline Powell, in Lebanon, KY - Medicare Optometrist Provider

Jacqueline Powell, is a medicare enrolled "Optometrist" provider in Lebanon, Kentucky. Her current practice location is 325 W Walnut St, Lebanon, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 867-8200.

Jacqueline Powell is licensed to practice in Kentucky (license number 2353DT) 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 1730889320.

Contact Information

	Jacqueline Powell,
	325 W Walnut St, Lebanon, KY 40033-1377
	(270) 867-8200
	(502) 916-3010

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Powell
Gender	Female
Speciality	Optometrist
Location	325 W Walnut St, Lebanon, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730889320
Provider Enumeration Date: 03/03/2023
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 8527420348
Enrollment ID: I20230810003296

Medical Identifiers

Medical identifiers for Jacqueline Powell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730889320	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2353DT (Kentucky)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Jacqueline Powell allows following entities to bill medicare on her behalf.

Provider Name	Clarkson Optometry Midwest Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073917597 PECOS PAC ID: 0749504165 Enrollment ID: O20160526000461

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. Jacqueline Powell 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
Jacqueline Powell, Po Box 207170, Dallas, TX 75320-7170 Ph: (636) 200-4393	Jacqueline Powell, 325 W Walnut St, Lebanon, KY 40033-1377 Ph: (270) 867-8200

Reviews and Comments

Optometrist in Lebanon, KY

Dr. Paul G Taylor, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 W High St, Lebanon, KY 40033 Phone: 270-692-1871 Fax: 270-692-6785
Amanda M Ballard, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 325 W Walnut St, Ste400, Lebanon, KY 40033 Phone: 502-955-2020 Fax: 502-736-4490
Clarkson Optometry Midwest Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 325 W Walnut St, Ste 400, Lebanon, KY 40033 Phone: 636-200-4393
Dr. Patricia Mary Hollingsworth-cecconi, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 W High St, Lebanon, KY 40033 Phone: 270-692-1871 Fax: 270-692-6785
Central Kentucky Optometric Associates Psc Optometrist Medicare: Medicare Enrolled Practice Location: 310 W High St, Lebanon, KY 40033 Phone: 270-692-1871 Fax: 270-692-6785

Jacqueline Powell, - Medicare Optometrist in Lebanon, KY