Jamie L Bush, CRNP is a medicare enrolled "Nurse Practitioner" physician in State College, Pennsylvania. Her current practice location is
239 Colonnade Blvd Fl 2, State College, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 375-3770.
Jamie L Bush is licensed to practice in Pennsylvania (license number SP018120) 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 1699289330.
Physician's Profile
| Full Name | Jamie L Bush |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 239 Colonnade Blvd Fl 2, State College, Pennsylvania |
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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: 1699289330
- Provider Enumeration Date: 11/16/2017
- Last Update Date: 09/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 8729349485
- Enrollment ID: I20180221001869
Medical Identifiers
Medical identifiers for Jamie L Bush such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699289330 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | SP018120 (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | SP018120 (Pennsylvania) | 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. Jamie L Bush allows following entities to bill medicare on her behalf.
| Entity Name | Geisinger Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
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| Entity Name | Mature Resources Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447861521 PECOS PAC ID: 9537588793 Enrollment ID: O20201007002979 |
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| Entity Name | Wellnow Urgent Care, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669825162 PECOS PAC ID: 8325320864 Enrollment ID: O20220525002905 |
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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. Jamie L Bush 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 |
Jamie L Bush, CRNP 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Jamie L Bush, CRNP 239 Colonnade Blvd Fl 2, State College, PA 16803-2668 Ph: (814) 375-3770 |
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