Jessica Stamm, RDN is a medicare enrolled "Dietitian, Registered" provider in La Crescenta, California. Her current practice location is
2325 Los Amigos St, La Crescenta, California. You can reach out to her office (for appointments etc.) via phone at
(818) 726-3711.
Jessica Stamm is licensed to practice in California (license number 86060088) 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 1003413204.
Healthcare Provider's Profile
| Full Name | Jessica Stamm |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 2325 Los Amigos St, La Crescenta, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003413204
- Provider Enumeration Date: 10/01/2020
- Last Update Date: 10/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 3274060157
- Enrollment ID: I20241217003819
Medical Identifiers
Medical identifiers for Jessica Stamm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003413204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 86060088 (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 Stamm allows following entities to bill medicare on her behalf.
| Provider Name | Diabetes Digital Corp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1487331328
PECOS PAC ID: 1557722055
Enrollment ID: O20230817000313 |
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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 Stamm 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 Stamm, RDN
2325 Los Amigos St,
La Crescenta, CA 91214-3030
Ph: () - | Jessica Stamm, RDN
2325 Los Amigos St,
La Crescenta, CA 91214-3030
Ph: (818) 726-3711 |
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