Ms Jessica Marie Burgos Bland, is a
Peer Specialist based in Ashtabula, Ohio. Ms Jessica Marie Burgos Bland is licensed to practice in Ohio (license number APS.006098) and her current practice location is
3211 Glover Dr, Ashtabula, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 645-2906.
NPI number for Ms Jessica Marie Burgos Bland is 1487452314 and her current mailing address is 3211 Glover Dr, Ashtabula, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487452314.
Healthcare Provider's Profile
| Full Name | Ms Jessica Marie Burgos Bland |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 3211 Glover Dr, Ashtabula, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1487452314
- Provider Enumeration Date: 03/05/2025
- Last Update Date: 07/09/2025
Medical Identifiers
Medical identifiers for Ms Jessica Marie Burgos Bland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487452314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.192522 (Ohio) | Secondary |
| 175T00000X | Peer Specialist | APS.006098 (Ohio) | Primary |
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 Jessica Marie Burgos Bland is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Jessica Marie Burgos Bland,
3211 Glover Dr,
Ashtabula, OH 44004-8963
Ph: (440) 645-2906 | Ms Jessica Marie Burgos Bland,
3211 Glover Dr,
Ashtabula, OH 44004-8963
Ph: (440) 645-2906 |
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