Jessica Collins Fairchilds, FNP, PMHNP in New York, NY

Jessica Collins Fairchilds, FNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in New York, New York. Her current practice location is 109 W 27th St Rm 5s, New York, New York. You can reach out to her office (for appointments etc.) via phone at (883) 351-8255.

Jessica Collins Fairchilds is licensed to practice in Mississippi (license number 901911) 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 1639696743.

Contact Information

	Jessica Collins Fairchilds, FNP, PMHNP
	109 W 27th St Rm 5s, New York, NY 10001-6208
	(883) 351-8255
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica Collins Fairchilds
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	109 W 27th St Rm 5s, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639696743
Provider Enumeration Date: 08/29/2017
Last Update Date: 07/24/2025

Medicare PECOS Information:

PECOS PAC ID: 5395002729
Enrollment ID: I20171120002169

Medical Identifiers

Medical identifiers for Jessica Collins Fairchilds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639696743	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2020009152 (Missouri)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	53-79148-102 (Kansas)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	901911 (Mississippi)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	901911 (Mississippi)	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 Collins Fairchilds allows following entities to bill medicare on her behalf.

Entity Name	State Of Mississippi-university Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

Entity Name	Mccd Fl Psychiatry Services Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659003457 PECOS PAC ID: 4880064070 Enrollment ID: O20230614001078

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 Collins Fairchilds 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 Collins Fairchilds, FNP, PMHNP 109 W 27th St Rm 5s, New York, NY 10001-6208 Ph: (833) 351-8255	Jessica Collins Fairchilds, FNP, PMHNP 109 W 27th St Rm 5s, New York, NY 10001-6208 Ph: (883) 351-8255

Reviews and Comments

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Jessica Collins Fairchilds, FNP, PMHNP - Medicare Nurse Practitioner in New York, NY