Jessica Dean, RD is a medicare enrolled "Dietitian, Registered" provider in Madison, Connecticut. Her current practice location is
43 Summer Hill Rd, Madison, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 421-0433.
Jessica Dean is licensed to practice in Connecticut (license number 86032609) 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 1548656291.
Healthcare Provider's Profile
Full Name | Jessica Dean |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 43 Summer Hill Rd, Madison, Connecticut |
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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: 1548656291
- Provider Enumeration Date: 04/09/2015
- Last Update Date: 04/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 4385951110
- Enrollment ID: I20150911000111
Medical Identifiers
Medical identifiers for Jessica Dean such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548656291 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 86032609 (Connecticut) | 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 Dean allows following entities to bill medicare on her behalf.
Provider Name | Northeast Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
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Provider Name | Jessica Dean Nutrition, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1659900405 PECOS PAC ID: 1951722974 Enrollment ID: O20200529002125 |
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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 Dean 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 Dean, RD 43 Summer Hill Rd, Madison, CT 06443-1851 Ph: (203) 421-0433 | Jessica Dean, RD 43 Summer Hill Rd, Madison, CT 06443-1851 Ph: (203) 421-0433 |
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