Jermaine J Stubblefield, PA is a medicare enrolled "Family Medicine" in Roseville, California. His current practice location is
2 Medical Plaza, Suite 130, Roseville, California. You can reach out to his office (for appointments etc.) via phone at
(916) 797-4725.
Jermaine J Stubblefield is licensed to practice in California (license number PA20823) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356667539.
Provider's Profile
| Full Name | Jermaine J Stubblefield |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 2 Medical Plaza, Roseville, California |
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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: 1356667539
- Provider Enumeration Date: 04/13/2010
- Last Update Date: 02/11/2011
Medicare PECOS Information:
- PECOS PAC ID: 2264611102
- Enrollment ID: I20110125000810
Medical Identifiers
Medical identifiers for Jermaine J Stubblefield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356667539 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | PA20823 (California) | Secondary |
| 207Q00000X | Family Medicine | PA20823 (California) | 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. Jermaine J Stubblefield allows following entities to bill medicare on his behalf.
| Entity Name | County of Monterey |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457303356
PECOS PAC ID: 2466345632
Enrollment ID: O20050712001287 |
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| Entity Name | Mogo Urgent Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770145682
PECOS PAC ID: 7810329976
Enrollment ID: O20191112002254 |
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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. Jermaine J Stubblefield 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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Jermaine J Stubblefield, PA
2 Medical Plaza, Suite 130,
Roseville, CA 95661-3038
Ph: (916) 797-4725 | Jermaine J Stubblefield, PA
2 Medical Plaza, Suite 130,
Roseville, CA 95661-3038
Ph: (916) 797-4725 |
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