JACQUELYN ISLAND M.D. - NPI 1194849489 - Preventive Medicine in Phoenix, AZ

Q: What is Jacquelyn Island's NPI number?

The NPI number for Jacquelyn Island is 1194849489. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Q: What is Jacquelyn Island's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Island was last updated on February 17, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jacquelyn Island M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN ISLAND M.D. (NPI 1194849489) is an individual occupational medicine provider in Phoenix, Arizona, licensed in Arizona (28020) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1987).

NPPES Registry Identity

NPI1194849489

Entity TypeIndividualFemale

Primary Taxonomy2083X0100X

Provider Legal NameJACQUELYN ISLANDCredential: M.D.

Location Address12808 N BLACK CANYON HWYPhoenix, AZ 85029-1346

Mailing Address5080 Spectrum Dr, Suite 1200 West TowerAddison, TX 75001-4648 · (800) 232-3550

Phone(615) 778-4066

Sole ProprietorNo

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1987

Enumeration DateMarch 19, 2007

Last NPPES UpdateFebruary 17, 2009

✔ NPI 1194849489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083X0100X

License✔ Licensed in AZ · 28020

Definition

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

12808 N BLACK CANYON HWY, Phoenix, AZ 85029

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Other Identifiers 4

Medicare UPINZ126500AZ

Medicare PINZ120952AZ

Medicare PINZ126048AZ

Medicare UPINZ126501AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacquelyn Island M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446312888

PECOS Enrollment IDI20081219000162

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT MIGUEL DIAZ DPT

Physical Therapist