Jillian Laura Mudry, is a medicare enrolled "Nurse Practitioner" in Ocean View, Delaware. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Delmarva Dermatology Llc and her current practice location is
96 Atlantic Ave Ste 103, Ocean View, Delaware. You can reach out to her office (for appointments etc.) via phone at
(302) 402-3015.
Jillian Laura Mudry is licensed to practice in Delaware (license number LG-0011687) 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 1932653854.
Provider's Profile
| Full Name | Jillian Laura Mudry |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 96 Atlantic Ave Ste 103, Ocean View, Delaware |
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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. |
Medical Education and Training:
- Jillian Laura Mudry graduated from nursing school in 2021
NPI Data:
- NPI Number: 1932653854
- Provider Enumeration Date: 08/09/2016
- Last Update Date: 11/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 4284032913
- Enrollment ID: I20211012000405
Medical Identifiers
Medical identifiers for Jillian Laura Mudry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1932653854 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | LG-0011687 (Delaware) | Primary |
| 163W00000X | Registered Nurse | L1-0048829 (Delaware) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Delmarva Dermatology Llc | 5991048795 | 2 |
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. Jillian Laura Mudry allows following entities to bill medicare on her behalf.
| Entity Name | Delmarva Dermatology LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568922672 PECOS PAC ID: 5991048795 Enrollment ID: O20190416001105 |
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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. Jillian Laura Mudry 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 |
Jillian Laura Mudry, 96 Atlantic Ave Ste 103, Ocean View, DE 19970-9103 Ph: (302) 402-3015 | Jillian Laura Mudry, 96 Atlantic Ave Ste 103, Ocean View, DE 19970-9103 Ph: (302) 402-3015 |
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