Jessica Cleary, is a medicare enrolled "Nurse Practitioner - Family" in Edwardsville, Pennsylvania. Her current practice location is
75 S Wyoming Ave, Edwardsville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 704-4233.
Jessica Cleary is licensed to practice in Pennsylvania (license number SP022437) 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 1316572266.
Provider's Profile
| Full Name | Jessica Cleary |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 75 S Wyoming Ave, Edwardsville, Pennsylvania |
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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: 1316572266
- Provider Enumeration Date: 03/10/2020
- Last Update Date: 02/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082002118
- Enrollment ID: I20211022000939
Medical Identifiers
Medical identifiers for Jessica Cleary such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316572266 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | SP022437 (Pennsylvania) | 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 Cleary allows following entities to bill medicare on her behalf.
| Entity Name | Rural Health Corporation Of Northeastern Pennsylvania |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265801112
PECOS PAC ID: 1052362662
Enrollment ID: O20050201000488 |
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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 Cleary 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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Jessica Cleary,
75 S Wyoming Ave,
Edwardsville, PA 18704-3103
Ph: (570) 704-4233 | Jessica Cleary,
75 S Wyoming Ave,
Edwardsville, PA 18704-3103
Ph: (570) 704-4233 |
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