Jessica Reddy, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Baltimore, Maryland. Her current practice location is
600 N Wolfe St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 955-5000.
Jessica Reddy is licensed to practice in * (Not Available) (license number ) 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 1790304129.
Physician's Profile
| Full Name | Jessica Reddy |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 600 N Wolfe St, Baltimore, Maryland |
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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: 1790304129
- Provider Enumeration Date: 04/15/2020
- Last Update Date: 06/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618307109
- Enrollment ID: I20240703000949
Medical Identifiers
Medical identifiers for Jessica Reddy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790304129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D99200 (Maryland) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Reddy allows following entities to bill medicare on her behalf.
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
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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 Reddy 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 Reddy, 733 N Broadway, Baltimore, MD 21205-1832 Ph: () - | Jessica Reddy, 600 N Wolfe St, Baltimore, MD 21287-0005 Ph: (410) 955-5000 |
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