Jessica Coolidge, CRNA in Portland, ME - Medicare Nurse Anesthetist, Certified Registered

Jessica Coolidge, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portland, Maine. Her current practice location is 22 Bramhall St, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 662-2526.

Jessica Coolidge is licensed to practice in Maine (license number RNA223061) 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 1215550983.

Contact Information

	Jessica Coolidge, CRNA
	22 Bramhall St, Portland, ME 04102-3134
	(207) 662-2526
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica Coolidge
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	22 Bramhall St, Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215550983
Provider Enumeration Date: 05/28/2020
Last Update Date: 09/09/2022

Medicare PECOS Information:

PECOS PAC ID: 9830566512
Enrollment ID: I20221109002229

Medical Identifiers

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

Identifier	Type	State	Issuer
1215550983	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RNA223061 (Maine)	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 Coolidge allows following entities to bill medicare on her behalf.

Entity Name	Eastern Maine Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088

Entity Name	Mercy Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629078712 PECOS PAC ID: 6103737812 Enrollment ID: O20040217000943

Entity Name	Intermed Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467422733 PECOS PAC ID: 5092605261 Enrollment ID: O20040319000548

Entity Name	True North Anesthesia L.l.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194176040 PECOS PAC ID: 1658668694 Enrollment ID: O20160920000443

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 Coolidge 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 Coolidge, CRNA 156 Walnut Hill Rd, North Yarmouth, ME 04097-6516 Ph: () -	Jessica Coolidge, CRNA 22 Bramhall St, Portland, ME 04102-3134 Ph: (207) 662-2526

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Portland, ME

Kayla Lima, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111
Mr. Rex A Huber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall Street, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236
Heidi S Alpern, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Department Of Anesthesiology, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236
Katherine Mercedes, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000
Ms. Kathryn L Lillie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 144 State St, Anesthesiology, Portland, ME 04101 Phone: 207-553-6277
Jessica L Ray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Dept Of Anesthesiology, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236
Cole Barski, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 175 Fore River Pkwy, Portland, ME 04102 Phone: 207-879-3000

Jessica Coolidge, CRNA - Medicare Nurse Anesthetist, Certified Registered in Portland, ME