Jessica R Vaniglia, CNM is a medicare enrolled "Advanced Practice Midwife" in Lakeside Park, Kentucky. She graduated from nursing school in 2004 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Trihealth H Llc and her current practice location is
2156 Chamber Center Dr, Lakeside Park, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 282-6700.
Jessica R Vaniglia is licensed to practice in Kentucky (license number 3009797) 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 1467822049.
Provider's Profile
| Full Name | Jessica R Vaniglia |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 21 Years |
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| Location | 2156 Chamber Center Dr, Lakeside Park, Kentucky |
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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 R Vaniglia graduated from nursing school in 2004
NPI Data:
- NPI Number: 1467822049
- Provider Enumeration Date: 09/25/2015
- Last Update Date: 06/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153625504
- Enrollment ID: I20160205000998
Medical Identifiers
Medical identifiers for Jessica R Vaniglia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467822049 | NPI | - | NPPES |
| 7100407100 | Medicaid | KY | |
| Q00076709 | Other | KY | RR MEDICARE |
| 0156451 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 1103945 (Kentucky) | Secondary |
| 367A00000X | Advanced Practice Midwife | APRN.CNM.0019646 (Ohio) | Secondary |
| 367A00000X | Advanced Practice Midwife | 3009797 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Trihealth H Llc | 1850570458 | 759 |
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 R Vaniglia allows following entities to bill medicare on her behalf.
| Entity Name | Summit Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508287640
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738 |
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| Entity Name | Trihealth H Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811215742
PECOS PAC ID: 1850570458
Enrollment ID: O20220726003084 |
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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 R Vaniglia 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 R Vaniglia, CNM
2156 Chamber Center Dr,
Lakeside Park, KY 41017-1669
Ph: (859) 282-6700 | Jessica R Vaniglia, CNM
2156 Chamber Center Dr,
Lakeside Park, KY 41017-1669
Ph: (859) 282-6700 |
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