Mrs Jacquelyn Edith Rockman, CRNA - Medicare Nurse Anesthetist, Certified Registered in Dodge City, KS

Mrs Jacquelyn Edith Rockman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dodge City, Kansas. Her current practice location is 500 Cherry St, Dodge City, Kansas. You can reach out to her office (for appointments etc.) via phone at (334) 549-2903.

Mrs Jacquelyn Edith Rockman is licensed to practice in Alabama (license number 1034848) 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 1568490936.

Contact Information

Mrs Jacquelyn Edith Rockman, CRNA
500 Cherry St,
Dodge City, KS 67801-5626
(334) 549-2903
Not Available



Provider's Profile

Full NameMrs Jacquelyn Edith Rockman
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location500 Cherry St, Dodge City, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568490936
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 03/06/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4688561004
  • Enrollment ID: I20120620000251

Medical Identifiers

Medical identifiers for Mrs Jacquelyn Edith Rockman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568490936NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 1034848 (Alabama)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 Jacquelyn Edith Rockman allows following entities to bill medicare on her behalf.
Entity NameNorthstar Anesthesia Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912978610
PECOS PAC ID: 7315907128
Enrollment ID: O20041015000685

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Entity NameGessner Anesthesia Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578799532
PECOS PAC ID: 2264612332
Enrollment ID: O20110207000314

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Entity NameYoungs Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922178599
PECOS PAC ID: 2163524992
Enrollment ID: O20120104000614

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Entity NameEndo Sedation Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588931174
PECOS PAC ID: 4789845363
Enrollment ID: O20120406000221

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Entity NameAnesthesia Company Of Houston, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598038770
PECOS PAC ID: 4284897299
Enrollment ID: O20120531000130

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Entity NameEpix Medical Services Of Houston Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417392200
PECOS PAC ID: 8527202167
Enrollment ID: O20130920000135

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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 Jacquelyn Edith Rockman 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 Jacquelyn Edith Rockman, CRNA
4028 Meredith Dr,
Montgomery, AL 36109-2343

Ph: (334) 549-2903
Mrs Jacquelyn Edith Rockman, CRNA
500 Cherry St,
Dodge City, KS 67801-5626

Ph: (334) 549-2903

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Nurse Anesthetist, Certified Registered Nurses in Dodge City, KS

Dr. Dana Alan Reynolds, EDD, MS, ARNP-CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2811 Avenue A, Apt. A, Dodge City, KS 67801
Phone: 620-371-6140    
Martha Jane Marples, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 100 W Ross Blvd, Dodge City, KS 67801
Phone: 620-225-2847    Fax: 620-225-7046
Jason Witzel, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 107 Corral Way Apt A, Dodge City, KS 67801
Phone: 205-585-1301    
Anthony F Bartello, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 100 W Ross Blvd, Dodge City, KS 67801
Phone: 620-225-2847    Fax: 620-225-7046
Kristopher Costello, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3001 Avenue A, Dodge City, KS 67801
Phone: 620-225-8400    
Terry A Martin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 100 W Ross Blvd, Dodge City, KS 67801
Phone: 620-225-2847    Fax: 620-225-7046

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