Mrs Jackeline Andrea Marx, CAA - Medicare Anesthesiologist Assistant in Plantation, FL

Mrs Jackeline Andrea Marx, CAA is a medicare enrolled "Anesthesiologist Assistant" in Plantation, Florida. Her current practice location is 7700 W Sunrise Blvd, Plantation, Florida. You can reach out to her office (for appointments etc.) via phone at (800) 437-2672.

Mrs Jackeline Andrea Marx is licensed to practice in Florida (license number 615) 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 1053927962.

Contact Information

Mrs Jackeline Andrea Marx, CAA
7700 W Sunrise Blvd,
Plantation, FL 33322-4113
(800) 437-2672
Not Available



Provider's Profile

Full NameMrs Jackeline Andrea Marx
GenderFemale
SpecialityAnesthesiologist Assistant
Location7700 W Sunrise Blvd, Plantation, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053927962
  • Provider Enumeration Date: 09/17/2020
  • Last Update Date: 03/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4385050566
  • Enrollment ID: I20210312001833

Medical Identifiers

Medical identifiers for Mrs Jackeline Andrea Marx such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053927962NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 615 (Florida)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. Mrs Jackeline Andrea Marx allows following entities to bill medicare on her behalf.
Entity NameSheridan Healthcorp Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629781711
PECOS PAC ID: 3173429693
Enrollment ID: O20031208000355

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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. Mrs Jackeline Andrea Marx 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
Mrs Jackeline Andrea Marx, CAA
3654 Nw 85th Ter,
Pembroke Pines, FL 33024-5100

Ph: (305) 316-1406
Mrs Jackeline Andrea Marx, CAA
7700 W Sunrise Blvd,
Plantation, FL 33322-4113

Ph: (800) 437-2672

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Anesthesiologist Assistant Nurses in Plantation, FL

Francis Lanzana, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322
Phone: 800-437-2672    
Jacob Cerny-garcia, C-AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322
Phone: 800-437-2672    
Tiffany Nicole Rodriguez,
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322
Phone: 800-437-2672    
Tate Storey, CAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322
Phone: 954-838-2521    
Alexander Tolbert,
Anesthesiologist Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322
Phone: 800-437-2672    
Mr. Salar Khan, CAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322
Phone: 800-437-2672    

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