Jessica Fraire, CNM is a medicare enrolled "Advanced Practice Midwife" in Farmington, Missouri. Her current practice location is
1103 W Liberty St, Farmington, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 701-7227.
Jessica Fraire is licensed to practice in Missouri (license number 2023045093) 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 1801621453.
Provider's Profile
| Full Name | Jessica Fraire |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1103 W Liberty St, Farmington, Missouri |
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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: 1801621453
- Provider Enumeration Date: 09/04/2024
- Last Update Date: 09/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 8729511316
- Enrollment ID: I20241105000715
Medical Identifiers
Medical identifiers for Jessica Fraire such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801621453 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 2023045093 (Missouri) | Primary |
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Secondary |
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 Fraire allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Clinic East Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851335228
PECOS PAC ID: 7214827922
Enrollment ID: O20070521000006 |
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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 Fraire 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 Fraire, CNM
Po Box 957683,
Saint Louis, MO 63195-7683
Ph: (573) 756-6751 | Jessica Fraire, CNM
1103 W Liberty St,
Farmington, MO 63640-1921
Ph: (573) 701-7227 |
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