Jessica Paulin, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lawrenceville, Illinois. Her current practice location is
2200 State St, Lawrenceville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 943-8517.
Jessica Paulin is licensed to practice in Indiana (license number 28171798A) 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 1194148213.
Provider's Profile
| Full Name | Jessica Paulin |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 2200 State St, Lawrenceville, Illinois |
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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: 1194148213
- Provider Enumeration Date: 01/24/2014
- Last Update Date: 06/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 3072743442
- Enrollment ID: I20140304001057
Medical Identifiers
Medical identifiers for Jessica Paulin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194148213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 28171798A (Indiana) | Secondary |
| 163W00000X | Registered Nurse | 041374674 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28171798A (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 Paulin allows following entities to bill medicare on her behalf.
| Entity Name | Daviess County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619154820
PECOS PAC ID: 1557271665
Enrollment ID: O20040412001435 |
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| Entity Name | Putnam County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578608188
PECOS PAC ID: 1951396605
Enrollment ID: O20040420000945 |
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| Entity Name | Daviess County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124231493
PECOS PAC ID: 1557271665
Enrollment ID: O20100420000663 |
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| Entity Name | Iceland Anesthesia Management Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912578667
PECOS PAC ID: 7618372996
Enrollment ID: O20210825000860 |
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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 Paulin 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 Paulin, CRNA
2200 State St,
Lawrenceville, IL 62439-1852
Ph: (618) 943-8517 | Jessica Paulin, CRNA
2200 State St,
Lawrenceville, IL 62439-1852
Ph: (618) 943-8517 |
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