Jessica Enderson, is a medicare enrolled "Surgery" physician in Lewisburg, West Virginia. She went to Lincoln Memorial University Medical Department and graduated in 2015 and has 11 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Camc Greenbrier Valley Medical Center Inc, Taylor Regional Hospital and her current practice location is
157 Skylar Drive, Lewisburg, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 793-2059.
Jessica Enderson is licensed to practice in West Virginia (license number 4911) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1720471287.
Physician's Profile
| Full Name | Jessica Enderson |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 11 Years |
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| Location | 157 Skylar Drive, Lewisburg, West Virginia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jessica Enderson attended and graduated from Lincoln Memorial University Medical Department in 2015
NPI Data:
- NPI Number: 1720471287
- Provider Enumeration Date: 03/09/2015
- Last Update Date: 04/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 0547511305
- Enrollment ID: I20260414001412
Medical Identifiers
Medical identifiers for Jessica Enderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720471287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | PG172027 (Oregon) | Secondary |
| 208600000X | Surgery | 4911 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Camc Greenbrier Valley Medical Center Inc | 1254702962 | 78 |
| Taylor Regional Hospital | 6800795154 | 10 |
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 Enderson 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 Enderson,
400 Association Drive, Suite 102,
Charleston, WV 25311
Ph: (304) 760-7536 | Jessica Enderson,
157 Skylar Drive,
Lewisburg, WV 24901
Ph: (304) 793-2059 |
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