Jessica Siobhan Douglas, PA-C is a medicare enrolled "Physician Assistant" in Eglon, West Virginia. Her current practice location is
2604 Grange Hall Road, Eglon, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 735-3155.
Jessica Siobhan Douglas is licensed to practice in NU (license number ) 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 1578996310.
Provider's Profile
| Full Name | Jessica Siobhan Douglas |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 2604 Grange Hall Road, Eglon, West Virginia |
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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: 1578996310
- Provider Enumeration Date: 08/15/2013
- Last Update Date: 05/03/2016
Medicare PECOS Information:
- PECOS PAC ID: 2668607300
- Enrollment ID: I20131105000394
Medical Identifiers
Medical identifiers for Jessica Siobhan Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578996310 | NPI | - | NPPES |
| 3810026498 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (NU) | 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 Siobhan Douglas allows following entities to bill medicare on her behalf.
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 Siobhan Douglas 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 Siobhan Douglas, PA-C
2604 Grange Hall Road,
Eglon, WV 26716
Ph: (304) 735-3155 | Jessica Siobhan Douglas, PA-C
2604 Grange Hall Road,
Eglon, WV 26716-0008
Ph: (304) 735-3155 |
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