Jessica Dudley, CNM is a medicare enrolled "Advanced Practice Midwife" in East Chicago, Indiana. Her current practice location is
100 W Chicago Ave Ste F, East Chicago, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 392-7016.
Jessica Dudley is licensed to practice in Indiana (license number 09000489A) 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 1477364230.
Provider's Profile
| Full Name | Jessica Dudley |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 100 W Chicago Ave Ste F, East Chicago, Indiana |
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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: 1477364230
- Provider Enumeration Date: 01/20/2025
- Last Update Date: 03/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446780985
- Enrollment ID: I20250212002801
Medical Identifiers
Medical identifiers for Jessica Dudley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477364230 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 209.029607 (Illinois) | Secondary |
| 367A00000X | Advanced Practice Midwife | 09000489A (Indiana) | 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 Dudley allows following entities to bill medicare on her behalf.
| Entity Name | 219 Health Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093213506
PECOS PAC ID: 0547521452
Enrollment ID: O20180308002615 |
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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 Dudley 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 Dudley, CNM
8558 Broadway,
Merrillville, IN 46410-7032
Ph: (219) 392-7086 | Jessica Dudley, CNM
100 W Chicago Ave Ste F,
East Chicago, IN 46312-3261
Ph: (219) 392-7016 |
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