Jessica L Davis-mierzwa, DC is a medicare enrolled "Chiropractor" provider in Forestville, New York. She went to New York Chiropractic College and graduated in 2001 and has 23 years of diverse experience with area of expertise as Chiropractic. Her current practice location is
24 Main St, Forestville, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 877-0676.
Jessica L Davis-mierzwa is licensed to practice in New York (license number 010181) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1679666838.
Healthcare Provider's Profile
| Full Name | Jessica L Davis-mierzwa |
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| Gender | Female |
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| Speciality | Chiropractic |
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| Experience | 23 Years |
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| Location | 24 Main St, Forestville, New York |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jessica L Davis-mierzwa attended and graduated from New York Chiropractic College in 2001
NPI Data:
- NPI Number: 1679666838
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 02/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 6709988165
- Enrollment ID: I20070305000037
Medical Identifiers
Medical identifiers for Jessica L Davis-mierzwa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679666838 | NPI | - | NPPES |
| 8812310 | Other | NY | INDEPENDENT HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 010181 (New York) | 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. Jessica L Davis-mierzwa allows following entities to bill medicare on her behalf.
| Provider Name | Forestville Chiropractic Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1720564586
PECOS PAC ID: 0143577734
Enrollment ID: O20180730000079 |
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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. Jessica L Davis-mierzwa 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 |
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Jessica L Davis-mierzwa, DC
24 Main St,
Forestville, NY 14062-9803
Ph: (716) 965-4343 | Jessica L Davis-mierzwa, DC
24 Main St,
Forestville, NY 14062
Ph: (716) 877-0676 |
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