Ms Farrell E Jolly, APRN, DC is a medicare enrolled "Nurse Practitioner - Family" provider in Worcester, Massachusetts. Her current practice location is
5 Neponset St, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 595-2300.
Ms Farrell E Jolly is licensed to practice in Massachusetts (license number RN2313519) 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 1780876094.
Healthcare Provider's Profile
| Full Name | Ms Farrell E Jolly |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 5 Neponset St, Worcester, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780876094
- Provider Enumeration Date: 08/10/2007
- Last Update Date: 02/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 8729166780
- Enrollment ID: I20170321000907
Medical Identifiers
Medical identifiers for Ms Farrell E Jolly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780876094 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | 4144 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 368105 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN2313519 (Massachusetts) | 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. Ms Farrell E Jolly allows following entities to bill medicare on her behalf.
| Provider Name | Prima Care, Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1265422596 PECOS PAC ID: 2567356017 Enrollment ID: O20040214000027 |
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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. Ms Farrell E Jolly 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 |
Ms Farrell E Jolly, APRN, DC 5 Neponset St, Worcester, MA 01606-2714 Ph: (508) 595-2300 | Ms Farrell E Jolly, APRN, DC 5 Neponset St, Worcester, MA 01606 Ph: (508) 595-2300 |
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