Jessica Baisley, in Santa Rosa, CA - Medicare Dentist Provider

Jessica Baisley, is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Santa Rosa, California. Her current practice location is 1300 N Dutton Ave, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 396-5151.

Jessica Baisley is licensed to practice in California (license number 104711) 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 1497319222.

Contact Information

	Jessica Baisley,
	1300 N Dutton Ave, Santa Rosa, CA 95401-0058
	(707) 396-5151
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Baisley
Gender	Female
Speciality	Dentist - Pediatric Dentistry
Location	1300 N Dutton Ave, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497319222
Provider Enumeration Date: 04/26/2019
Last Update Date: 07/30/2023

Medicare PECOS Information:

PECOS PAC ID: 2365887700
Enrollment ID: I20250305003989

Medical Identifiers

Medical identifiers for Jessica Baisley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497319222	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	104711 (California)	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 Baisley allows following entities to bill medicare on her behalf.

Entity Name	Santa Rosa Community Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578631172 PECOS PAC ID: 0345130423 Enrollment ID: O20040319001444

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 Baisley 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
Jessica Baisley, 3375 Parkgate Ct, Richmond, CA 94806-1989 Ph: (510) 367-0744	Jessica Baisley, 1300 N Dutton Ave, Santa Rosa, CA 95401-0058 Ph: (707) 396-5151

Reviews and Comments

Dentist in Santa Rosa, CA

Dr. Sandeep Sharma, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1544 Sebastopol Rd, Santa Rosa, CA 95407 Phone: 707-575-1000
Mrs. Edita Vasiliauskas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2448 Guerneville Rd, Santa Rosa, CA 95403 Phone: 707-579-2808
Dr. Simone Winkler Downs, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1206 Farmers Lane, Santa Rosa, CA 95405 Phone: 707-575-4450 Fax: 415-789-1252
Paul James Steigerwald, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 868 2nd St, Santa Rosa, CA 95404 Phone: 707-525-1228 Fax: 707-525-1137
Dr. Ranolph Duane Rush, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3536 Mendocino Ave, Suite #330, Santa Rosa, CA 95403 Phone: 707-545-4104 Fax: 707-545-9668
Dr. Christopher Chhoum Chow, DDS, MD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1460 Farmers Ln, Santa Rosa, CA 95405 Phone: 707-566-7300 Fax: 707-566-7400
Dr. Brian William Payne, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 36 Doctors Park Dr, Santa Rosa, CA 95405 Phone: 707-546-5234 Fax: 707-546-3928

Jessica Baisley, - Medicare Dentist in Santa Rosa, CA