Jean Jacklin (NPI# 1043665094, PAC ID# 4981993649) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1043665094 |
PAC ID by PECOS | 4981993649 |
Professional Enrollment ID | I20160519000366 |
Full Name | Jean Jacklin |
Organization Legal Name | PERSONAL PHYSICIAN CARE, LLC |
Address |
6334 Cedar Ln Suite 103 Columbia MD 21044-3898 |
Phone Number | 4105312355 |
Gender | F |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 3274683289 |
Number of Group Practice Members | 8 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
210023 | ANNE ARUNDEL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898 | 4105312355 | PERSONAL PHYSICIAN CARE, LLC |
Organization Legal Name | PERSONAL PHYSICIAN CARE, LLC |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kathryn Eleanor Scallion | Nurse Practitioner | Personal Physician Care, LLC | 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898 |
Elizabeth L Shadis | Nurse Practitioner | Personal Physician Care, LLC | 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898 |
Kristin D Burkhardt | Nurse Practitioner | Personal Physician Care, LLC | 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898 |
Andrew L Lazris | Internal Medicine | Personal Physician Care, LLC | 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898 |
Katherine D Jantac | Nurse Practitioner | Personal Physician Care, LLC | 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898 |
Allison P Carew | Nurse Practitioner | Personal Physician Care, LLC | 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898 |
Alexandra Budnyk | Nurse Practitioner | Personal Physician Care, LLC | 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898 |
Michelle A Klima | Nurse Practitioner | Personal Physician Care, LLC | 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898 |
Street Address |
6334 CEDAR LN SUITE 103 |
City | COLUMBIA |
State | MD |
Zip | 21044-3898 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kathryn Eleanor Scallion | Nurse Practitioner | Personal Physician Care, LLC | 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898 |
Elizabeth L Shadis | Nurse Practitioner | Personal Physician Care, LLC | 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898 |
Kristin D Burkhardt | Nurse Practitioner | Personal Physician Care, LLC | 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898 |
Andrew L Lazris | Internal Medicine | Personal Physician Care, LLC | 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898 |
Katherine D Jantac | Nurse Practitioner | Personal Physician Care, LLC | 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898 |
Allison P Carew | Nurse Practitioner | Personal Physician Care, LLC | 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898 |
Alexandra Budnyk | Nurse Practitioner | Personal Physician Care, LLC | 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898 |
Michelle A Klima | Nurse Practitioner | Personal Physician Care, LLC | 6334 Cedar Ln, Suite 103, Columbia, MD 21044-3898 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jerome Ross | Ophthalmology | Physicians Eye Care Center LLC | 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044 |
Connie Marie Mcrill | Ophthalmology | Physicians Eye Care Center LLC | 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044 |
Jeffrey L Wexler | Ophthalmology | Physicians Eye Care Center LLC | 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044 |
Marjorie K Warden | Ophthalmology | Physicians Eye Care Center LLC | 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044 |
Alexandre F Gauthier | Ophthalmology | Physicians Eye Care Center LLC | 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044 |
Richard Malcolm Susel | Ophthalmology | Physicians Eye Care Center LLC | 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044 |
Lynn Lewis | Clinical Social Worker | 5222 Harpers Farm Rd, Columbia, MD 21044-1012 | |
Jean L Jerardi | Clinical Nurse Specialist | 10852 Green Mountain Circle, Columbia, MD 21044-2320 | |
Cory James Hough | Physical Therapy | Maryland Sportscare and Rehab LLC | 5435 Beaverkill Rd, Columbia, MD 21044-2359 |
Ainsley M Meehan | Physical Therapy | Maryland Sportscare and Rehab LLC | 5435 Beaverkill Rd, Columbia, MD 21044-2359 |
Find all physicians in zip 21044 |
City | COLUMBIA |
Zip Code | 21044 |
Specialty | NURSE PRACTITIONER |
City + Specialty | COLUMBIA + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.