Jacqueline Nicole Wright, MD - Medicare Surgery in Grand Forks, ND

Jacqueline Nicole Wright, MD is a medicare enrolled "Surgery" physician in Grand Forks, North Dakota. Her current practice location is 1301 N Columbia Rd, Rm E280, Stop 9037, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 777-3067.

Jacqueline Nicole Wright is licensed to practice in California (license number A150761) 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 1407236474.

Contact Information

Jacqueline Nicole Wright, MD
1301 N Columbia Rd, Rm E280, Stop 9037,
Grand Forks, ND 58203
(701) 777-3067
(701) 777-2609



Physician's Profile

Full NameJacqueline Nicole Wright
GenderFemale
SpecialitySurgery
Location1301 N Columbia Rd, Grand Forks, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407236474
  • Provider Enumeration Date: 06/04/2015
  • Last Update Date: 03/14/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0446517601
  • Enrollment ID: I20210608000163

Medical Identifiers

Medical identifiers for Jacqueline Nicole Wright such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407236474NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery A150761 (California)Primary

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 Nicole Wright allows following entities to bill medicare on her behalf.
Entity NameFlorida Post Acute Care Clinicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811398811
PECOS PAC ID: 3971820598
Enrollment ID: O20150319001562

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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. Jacqueline Nicole Wright 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
Jacqueline Nicole Wright, MD
1500 Camden Ave Apt 3a,
Los Angeles, CA 90025-3441

Ph: (918) 261-6938
Jacqueline Nicole Wright, MD
1301 N Columbia Rd, Rm E280, Stop 9037,
Grand Forks, ND 58203

Ph: (701) 777-3067

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Surgery Doctors in Grand Forks, ND

Seye Adekeye, M.D., PH.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 501 N Columbia Rd Stop 9037, Und Department Of Surgery, Grand Forks, ND 58202
Phone: 701-777-3067    
Bradley P Belluk, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201
Phone: 701-780-2300    Fax: 701-780-1942
Dr. Wade Anthony Hopper, DO
Surgery
Medicare: Medicare Enrolled
Practice Location: 1301 N Columbia Rd Stop 9037, Grand Forks, ND 58202
Phone: 701-777-3069    
Katherine Alice Senter, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201
Phone: 701-780-5000    Fax: 701-780-4477
Adrian Sarli, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 1301 N Columbia Rd, Stop 9037, Und Department Of Surgery, Grand Forks, ND 58202
Phone: 701-293-4151    
Ergest Isak, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 1301 N Columbia Rd Stop 9037, Grand Forks, ND 58202
Phone: 701-777-3069    
Nicole D Lee,
Surgery
Medicare: Medicare Enrolled
Practice Location: 1301 N Columbia Rd, Stop 9037, Und Department Of Surgery, Grand Forks, ND 58202
Phone: 701-777-3069    

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