Mrs Jacqualyn S Fanelle, CRNA - Medicare Nurse Anesthetist, Certified Registered in Vineland, NJ

Mrs Jacqualyn S Fanelle, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Vineland, New Jersey. Her current practice location is 1505 W Sherman Ave, Vineland, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 641-7859.

Mrs Jacqualyn S Fanelle is licensed to practice in New Jersey (license number 26NJ00207600) 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 1043431588.

Contact Information

Mrs Jacqualyn S Fanelle, CRNA
1505 W Sherman Ave,
Vineland, NJ 08360-6912
(856) 641-7859
(856) 641-7671



Provider's Profile

Full NameMrs Jacqualyn S Fanelle
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1505 W Sherman Ave, Vineland, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043431588
  • Provider Enumeration Date: 05/01/2007
  • Last Update Date: 09/20/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7113810326
  • Enrollment ID: I20040203000445

Medical Identifiers

Medical identifiers for Mrs Jacqualyn S Fanelle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043431588NPI-NPPES
39668OtherAANA
P00795657OtherNJRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 26NR07270700 (New Jersey)Secondary
367500000XNurse Anesthetist, Certified Registered 26NJ00207600 (New Jersey)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 Jacqualyn S Fanelle allows following entities to bill medicare on her behalf.
Entity NameSouth Jersey Anesthesia And Pain Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700821352
PECOS PAC ID: 0840181152
Enrollment ID: O20040324000439

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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 Jacqualyn S Fanelle 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 Jacqualyn S Fanelle, CRNA
Po Box 650782,
Dallas, TX 75265-0782

Ph: (866) 709-4546
Mrs Jacqualyn S Fanelle, CRNA
1505 W Sherman Ave,
Vineland, NJ 08360-6912

Ph: (856) 641-7859

News Archive

Buttocks enhancements: Silicone injections may lead to infections and disfigurement

Many women are anxious to obtain the perfect body; often a fuller, rounder buttocks is desired. Silicone injections into the buttocks by non-physicians can lead to infections and disfigurement.

Roche submits cobas EGFR v2 test PMA to FDA as companion diagnostic test for AZD9291

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Read more News

› Verified 5 days ago


Nurse Anesthetist, Certified Registered Nurses in Vineland, NJ

Colleen T Mazzoni, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360
Phone: 302-709-4497    Fax: 302-733-0854
Lindsay Hearing, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360
Phone: 856-641-8000    
Megan Elizabeth Tomasco, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360
Phone: 856-641-8000    Fax: 610-789-9937
Laura Ann Mendelsohn, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1133 E Chestnut Ave, Vineland, NJ 08360
Phone: 856-507-0800    
Jessica Milburn, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360
Phone: 856-641-8000    Fax: 856-641-7668
Kevin Ryan Scott,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360
Phone: 856-641-8000    
Barbara Michelle Barrett, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360
Phone: 856-641-8000    Fax: 877-329-2370

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