Mrs Jody Lynn Root, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Bloomfield, Indiana. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Westgate Medical Llc and her current practice location is
10858 E State Road 54, Suite #1, Bloomfield, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 400-0067.
Mrs Jody Lynn Root is licensed to practice in Indiana (license number 71002130A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881622900.
Provider's Profile
Full Name | Mrs Jody Lynn Root |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 19 Years |
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Location | 10858 E State Road 54, Bloomfield, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Jody Lynn Root graduated from nursing school in 2005
NPI Data:
- NPI Number: 1881622900
- Provider Enumeration Date: 06/29/2006
- Last Update Date: 06/22/2015
Medicare PECOS Information:
- PECOS PAC ID: 1254439946
- Enrollment ID: I20070604000404
Medical Identifiers
Medical identifiers for Mrs Jody Lynn Root such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881622900 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 71002130A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Westgate Medical Llc | 3274846381 | 3 |
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 Jody Lynn Root allows following entities to bill medicare on her behalf.
Entity Name | Southern Indiana Family Practice Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770626152 PECOS PAC ID: 1557467362 Enrollment ID: O20070510000310 |
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Entity Name | Michael S Miller Do Facos Cws Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316072242 PECOS PAC ID: 6406935733 Enrollment ID: O20080512000280 |
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Entity Name | Westgate Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679971550 PECOS PAC ID: 3274846381 Enrollment ID: O20150720000229 |
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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 Jody Lynn Root 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 Address | Practice Location Address |
Mrs Jody Lynn Root, FNP-BC 10858 E State Road 54, Suite #1, Bloomfield, IN 47424-6069 Ph: (812) 400-0067 | Mrs Jody Lynn Root, FNP-BC 10858 E State Road 54, Suite #1, Bloomfield, IN 47424-6069 Ph: (812) 400-0067 |
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