Jill Vidrine, NP is a medicare enrolled "Internal Medicine - Gastroenterology" in Alexandria, Louisiana. Her current practice location is
3311 Prescott Rd Ste 411, Alexandria, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 448-5310.
Jill Vidrine is licensed to practice in Louisiana (license number AP09462) 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 1558885160.
Provider's Profile
| Full Name | Jill Vidrine |
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| Gender | Female |
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| Speciality | Internal Medicine - Gastroenterology |
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| Location | 3311 Prescott Rd Ste 411, Alexandria, Louisiana |
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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: 1558885160
- Provider Enumeration Date: 07/26/2017
- Last Update Date: 01/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 1951669928
- Enrollment ID: I20171220002259
Medical Identifiers
Medical identifiers for Jill Vidrine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558885160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP09462 (Louisiana) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | AP09462 (Louisiana) | 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 Vidrine allows following entities to bill medicare on her behalf.
| Entity Name | Christus Health Central Louisiana |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497895130
PECOS PAC ID: 4688570955
Enrollment ID: O20070615000135 |
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| Entity Name | Alexandria Gastrointestinal Specialists, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902136328
PECOS PAC ID: 8729116645
Enrollment ID: O20100513000180 |
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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. Jill Vidrine 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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Jill Vidrine, NP
3311 Prescott Rd Ste 411,
Alexandria, LA 71301-3985
Ph: (318) 448-5310 | Jill Vidrine, NP
3311 Prescott Rd Ste 411,
Alexandria, LA 71301-3985
Ph: (318) 448-5310 |
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