Jessica Rae Bussey, is a medicare enrolled "Nurse Practitioner - Family" in Coventry Township, Ohio. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Summa Physicians Inc and her current practice location is
500 Portage Lakes Dr, Coventry Township, Ohio. You can reach out to her office (for appointments etc.) via phone at
(234) 867-6626.
Jessica Rae Bussey is licensed to practice in Ohio (license number 025701) 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 1801399415.
Provider's Profile
| Full Name | Jessica Rae Bussey |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 500 Portage Lakes Dr, Coventry Township, Ohio |
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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 Rae Bussey graduated from nursing school in 2018
NPI Data:
- NPI Number: 1801399415
- Provider Enumeration Date: 03/10/2018
- Last Update Date: 06/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 1658622253
- Enrollment ID: I20200612001304
Medical Identifiers
Medical identifiers for Jessica Rae Bussey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801399415 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 275312 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 025701 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Summa Physicians Inc | 2961303532 | 653 |
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 Rae Bussey allows following entities to bill medicare on her behalf.
| Entity Name | Summa Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235167719
PECOS PAC ID: 2961303532
Enrollment ID: O20040116000295 |
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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 Rae Bussey 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 Rae Bussey,
407 W Maple St,
North Canton, OH 44720-2719
Ph: (336) 682-8051 | Jessica Rae Bussey,
500 Portage Lakes Dr,
Coventry Township, OH 44319-2299
Ph: (234) 867-6626 |
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