Jaclyn Israel I, DO in Lewiston, ME - Medicare Family Medicine

Jaclyn Israel I, DO is a medicare enrolled "Family Medicine" physician in Lewiston, Maine. Her current practice location is 76 High St, Lewiston, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 795-2800.

Jaclyn Israel I is licensed to practice in Maine (license number TP21003) 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 1154904712.

Contact Information

	Jaclyn Israel I, DO
	76 High St, Lewiston, ME 04240-7649
	(207) 795-2800
	Not Available

Physician's Profile

Full Name	Jaclyn Israel I
Gender	Female
Speciality	Family Medicine
Location	76 High St, Lewiston, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154904712
Provider Enumeration Date: 05/03/2021
Last Update Date: 05/03/2021

Medicare PECOS Information:

PECOS PAC ID: 9133521578
Enrollment ID: I20210708000676

Medical Identifiers

Medical identifiers for Jaclyn Israel I such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154904712	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	TP21003 (Maine)	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. Jaclyn Israel I 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
Jaclyn Israel I, DO 76 High St, Lewiston, ME 04240-7649 Ph: (207) 795-2800	Jaclyn Israel I, DO 76 High St, Lewiston, ME 04240-7649 Ph: (207) 795-2800

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Family Medicine Doctors in Lewiston, ME

Brock Tostenson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 76 High St, Lewiston, ME 04240 Phone: 207-795-2800
Leo Paraskevopoulos, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 76 High St, Lewiston, ME 04240 Phone: 207-795-2800
Eliza Foster, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 76 High St, Lewiston, ME 04240 Phone: 207-795-2800
Larry Spencer Fitch, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 76 High St, Lewiston, ME 04240 Phone: 207-795-2800
Dashiell Jordan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 Campus Ave Ste 201, Lewiston, ME 04240 Phone: 207-777-8810 Fax: 207-777-8155
Peggy Wyman, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12 High St, Ste 302, Lewiston, ME 04240 Phone: 207-795-5750 Fax: 207-795-5649
Patricia Collins, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 76 High St, Lewiston, ME 04240 Phone: 207-795-2800

Jaclyn Israel I, DO - Medicare Family Medicine in Lewiston, ME