Jill Bryant, is a medicare enrolled "Internal Medicine" in Joplin, Missouri. Her current practice location is
2615 E 15th St, Joplin, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 624-4701.
Jill Bryant is licensed to practice in Missouri (license number 2020021034) 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 1053925537.
Provider's Profile
| Full Name | Jill Bryant |
|---|
| Gender | Female |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 2615 E 15th St, Joplin, Missouri |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1053925537
- Provider Enumeration Date: 09/02/2020
- Last Update Date: 06/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062814452
- Enrollment ID: I20210707003304
Medical Identifiers
Medical identifiers for Jill Bryant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053925537 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2020021034 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | 2020021034 (Missouri) | 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. Jill Bryant allows following entities to bill medicare on her behalf.
| Entity Name | Joplin Internal Medicine Clinic |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1538498035
PECOS PAC ID: 8527194703
Enrollment ID: O20100326000414 |
|---|
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. Jill Bryant 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 |
|---|
Jill Bryant,
2615 E 15th St,
Joplin, MO 64804-1006
Ph: (417) 624-4701 | Jill Bryant,
2615 E 15th St,
Joplin, MO 64804-1006
Ph: (417) 624-4701 |
Reviews and Comments