Dr Jessica Leigh Staller, DO is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Ft Lauderdale, Florida. Her current practice location is
1007 W Commercial Blvd, Ft Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 564-2592.
Dr Jessica Leigh Staller is licensed to practice in Florida (license number OS16365) 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 1831586544.
Physician's Profile
| Full Name | Dr Jessica Leigh Staller |
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| Gender | Female |
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| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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| Location | 1007 W Commercial Blvd, Ft Lauderdale, Florida |
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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: 1831586544
- Provider Enumeration Date: 04/20/2015
- Last Update Date: 05/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 6608125687
- Enrollment ID: I20200211000755
Medical Identifiers
Medical identifiers for Dr Jessica Leigh Staller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831586544 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 25MB10183900 (New Jersey) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | OS16365 (Florida) | 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. Dr Jessica Leigh Staller allows following entities to bill medicare on her behalf.
| Entity Name | American Current Care PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770719296
PECOS PAC ID: 9739260019
Enrollment ID: O20090521000123 |
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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. Dr Jessica Leigh Staller 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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Dr Jessica Leigh Staller, DO
1007 W Commercial Blvd,
Ft Lauderdale, FL 33309-3107
Ph: (954) 564-2592 | Dr Jessica Leigh Staller, DO
1007 W Commercial Blvd,
Ft Lauderdale, FL 33309-3107
Ph: (954) 564-2592 |
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