Mrs Jessica Arbeth Maddox Vann, APN is a medicare enrolled "Nurse Practitioner - Gerontology" in Penns Grove, New Jersey. 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 Moonshot Psychiatric Nurse Practitioner Pc and her current practice location is
106 Lupine Ln, Penns Grove, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 617-5229.
Mrs Jessica Arbeth Maddox Vann is licensed to practice in Pennsylvania (license number SP008840) 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 1710037163.
Provider's Profile
| Full Name | Mrs Jessica Arbeth Maddox Vann |
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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 | 106 Lupine Ln, Penns Grove, New Jersey |
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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:
- Mrs Jessica Arbeth Maddox Vann graduated from nursing school in 2021
NPI Data:
- NPI Number: 1710037163
- Provider Enumeration Date: 01/10/2007
- Last Update Date: 10/30/2011
Medicare PECOS Information:
- PECOS PAC ID: 8022176858
- Enrollment ID: I20260130001977
Medical Identifiers
Medical identifiers for Mrs Jessica Arbeth Maddox Vann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710037163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LG0600X | Nurse Practitioner - Gerontology | SP008840 (Pennsylvania) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | 26NJ00325000 (New Jersey) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Moonshot Psychiatric Nurse Practitioner Pc | 9335589696 | 76 |
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. Mrs Jessica Arbeth Maddox Vann 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 |
Mrs Jessica Arbeth Maddox Vann, APN 106 Lupine Ln, Penns Grove, NJ 08069-2241 Ph: () - | Mrs Jessica Arbeth Maddox Vann, APN 106 Lupine Ln, Penns Grove, NJ 08069-2241 Ph: (609) 617-5229 |
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