Jessica Boldridge, in Fairhaven, MA - Medicare Internal Medicine

Jessica Boldridge, is a medicare enrolled "Internal Medicine - Nephrology" physician in Fairhaven, Massachusetts. Her current practice location is 208 Mill Rd, Fairhaven, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (609) 756-7371.

Jessica Boldridge is licensed to practice in Massachusetts (license number 1020056) 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 1578023503.

Contact Information

	Jessica Boldridge,
	208 Mill Rd, Fairhaven, MA 02719-5208
	(609) 756-7371
	Not Available

Map and Direction

Physician's Profile

Full Name	Jessica Boldridge
Gender	Female
Speciality	Internal Medicine - Nephrology
Location	208 Mill Rd, Fairhaven, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578023503
Provider Enumeration Date: 03/25/2019
Last Update Date: 11/05/2024

Medicare PECOS Information:

PECOS PAC ID: 8921338526
Enrollment ID: I20240827000785

Medical Identifiers

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

Identifier	Type	State	Issuer
1578023503	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	1020056 (Massachusetts)	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 Boldridge allows following entities to bill medicare on her behalf.

Entity Name	Southcoast Physicians Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138

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 Boldridge 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 Boldridge, 208 Mill Rd, Fairhaven, MA 02719-5208 Ph: () -	Jessica Boldridge, 208 Mill Rd, Fairhaven, MA 02719-5208 Ph: (609) 756-7371

Reviews and Comments

Internal Medicine Doctors in Fairhaven, MA

Todd F Roberts, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 206 Mill Rd, Fairhaven, MA 02719 Phone: 508-973-3000 Fax: 508-973-3119
Dr. Nicholas Robert Ondrasik, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 208 Mill Rd, Fairhaven, MA 02719 Phone: 508-973-2224 Fax: 508-973-0394
Matthew Spring, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 208 Mill Rd, Fairhaven, MA 02719 Phone: 508-973-2224
Dr. Alexis Pappas, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 208 Mill Rd, Fairhaven, MA 02719 Phone: 508-973-2661 Fax: 508-973-0314
Elizabeth M Blanchard, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 206 Mill Rd, Fairhaven, MA 02719 Phone: 508-973-3000 Fax: 508-973-3119
Carolyn Davidson, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 208 Mill Rd, Fairhaven, MA 02719 Phone: 508-973-2207 Fax: 508-973-2505
Dr. Abena A. Addo, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 208 Mill Rd, Fairhaven, MA 02719 Phone: 508-996-1800 Fax: 508-992-7906

Jessica Boldridge, - Medicare Internal Medicine in Fairhaven, MA