Jessica L Balcom, FNP-C in Payson, AZ - Medicare Nurse Practitioner

Jessica L Balcom, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Payson, Arizona. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Emergency Physicians Southwest Pc and her current practice location is 807 S Ponderosa St, Payson, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 471-3222.

Jessica L Balcom is licensed to practice in Arizona (license number AP11809) 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 1205320777.

Contact Information

	Jessica L Balcom, FNP-C
	807 S Ponderosa St, Payson, AZ 85541-5542
	(928) 471-3222
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica L Balcom
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	807 S Ponderosa St, Payson, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jessica L Balcom graduated from nursing school in 2013

NPI Data:

NPI Number: 1205320777
Provider Enumeration Date: 06/19/2018
Last Update Date: 09/24/2018

Medicare PECOS Information:

PECOS PAC ID: 1850630815
Enrollment ID: I20190308001741

Medical Identifiers

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

Identifier	Type	State	Issuer
1205320777	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP11809 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Banner Payson Medical Center	Payson, AZ	Hospital

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 L Balcom allows following entities to bill medicare on her behalf.

Entity Name	Emergency Physicians Southwest Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912053752 PECOS PAC ID: 2264538529 Enrollment ID: O20070502000382

Entity Name	Tonto Apache Health Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447843651 PECOS PAC ID: 8426420118 Enrollment ID: O20240729001282

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 L Balcom 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 L Balcom, FNP-C 52423 N Az Hwy 188, Payson, AZ 85541 Ph: () -	Jessica L Balcom, FNP-C 807 S Ponderosa St, Payson, AZ 85541-5542 Ph: (928) 471-3222

Reviews and Comments

Nurse Practitioner Nurses in Payson, AZ

Tara Gann, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 W Main St Ste B, Payson, AZ 85541 Phone: 928-472-6000 Fax: 844-752-8246
Rachel Denise Armstrong, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 W Main St, Payson, AZ 85541 Phone: 928-474-9399 Fax: 928-474-9831
Christy Rene Carner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 W Pinecone Cir, Payson, AZ 85541 Phone: 602-989-0362
Ramona T Coppelli, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 708 Coeur D'alene, Payson, AZ 85541 Phone: 928-474-5259
Suzanne Lea Morse, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 708 E State Highway 260 Ste B1, Payson, AZ 85541 Phone: 928-474-2234 Fax: 928-474-4056
Mason Alden Standifird, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 708 S Coeur D Alene Ln Ste B, Payson, AZ 85541 Phone: 928-468-8603

Jessica L Balcom, FNP-C - Medicare Nurse Practitioner in Payson, AZ