Jessica A Radley, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Columbus, Texas. Her current practice location is
2122 Highway 71 S, Columbus, Texas. You can reach out to her office (for appointments etc.) via phone at
(979) 732-2318.
Jessica A Radley is licensed to practice in Texas (license number 677695) 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 1003057829.
Provider's Profile
| Full Name | Jessica A Radley |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2122 Highway 71 S, Columbus, Texas |
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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: 1003057829
- Provider Enumeration Date: 03/09/2009
- Last Update Date: 06/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 4981752524
- Enrollment ID: I20090508000111
Medical Identifiers
Medical identifiers for Jessica A Radley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003057829 | NPI | - | NPPES |
| 677695 | Other | TX | LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 677695 (Texas) | 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 A Radley allows following entities to bill medicare on her behalf.
| Entity Name | Columbus Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740238641 PECOS PAC ID: 1557250446 Enrollment ID: O20040417000423 |
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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 A Radley 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 A Radley, FNP-BC 2122 Highway 71 S, Columbus, TX 78934-3011 Ph: (979) 732-2318 | Jessica A Radley, FNP-BC 2122 Highway 71 S, Columbus, TX 78934-3011 Ph: (979) 732-2318 |
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