Jessica Dudley, CNM is a medicare enrolled "Advanced Practice Midwife" in East Chicago, Indiana. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice 219 Health Network Inc and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477364230.
Provider's Profile
| Full Name | Jessica Dudley |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 6 Years |
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| Location | 100 W Chicago Ave Ste F, East Chicago, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jessica Dudley graduated from nursing school in 2020
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| 219 Health Network Inc | 0547521452 | 67 |
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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