Jazmine Simone Liboon, is a medicare enrolled "Advanced Practice Midwife" in Kernersville, North Carolina. Her current practice location is
1635 Nc Highway 66 S Ste 245, Kernersville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 992-5120.
Jazmine Simone Liboon is licensed to practice in North Carolina (license number 932) 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 1831966100.
Provider's Profile
| Full Name | Jazmine Simone Liboon |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1635 Nc Highway 66 S Ste 245, Kernersville, North Carolina |
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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: 1831966100
- Provider Enumeration Date: 12/07/2023
- Last Update Date: 10/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 2264965664
- Enrollment ID: I20241023003736
Medical Identifiers
Medical identifiers for Jazmine Simone Liboon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831966100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 932 (North Carolina) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Jazmine Simone Liboon allows following entities to bill medicare on her behalf.
| Entity Name | Duke Health Integrated Practice Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205553369
PECOS PAC ID: 8325412737
Enrollment ID: O20230327002247 |
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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. Jazmine Simone Liboon 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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Jazmine Simone Liboon,
East Carolina University College Of Nursing, 600 Moye Blvd.,
Greenville, NC 27834
Ph: () - | Jazmine Simone Liboon,
1635 Nc Highway 66 S Ste 245,
Kernersville, NC 27284-3855
Ph: (336) 992-5120 |
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