Ms Jessica Erin Stafford, CPNP - Medicare Nurse Practitioner in Fairfax, VA

Ms Jessica Erin Stafford, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Fairfax, Virginia. Her current practice location is 3023 Hamaker Ct, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 876-2788.

Ms Jessica Erin Stafford is licensed to practice in Virginia (license number 0024174597) 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 1568902567.

Contact Information

Ms Jessica Erin Stafford, CPNP
3023 Hamaker Ct,
Fairfax, VA 22031-2207
(703) 876-2788
Not Available

Map and Direction




Provider's Profile

Full NameMs Jessica Erin Stafford
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location3023 Hamaker Ct, Fairfax, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568902567
  • Provider Enumeration Date: 02/24/2017
  • Last Update Date: 02/24/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0345639969
  • Enrollment ID: I20211119000125

Medical Identifiers

Medical identifiers for Ms Jessica Erin Stafford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568902567NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 0024174597 (Virginia)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. Ms Jessica Erin Stafford allows following entities to bill medicare on her behalf.
Entity NameChildrens Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912939703
PECOS PAC ID: 0244143170
Enrollment ID: O20031107000130
Entity NamePediatric Specialists Of Virginia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699119818
PECOS PAC ID: 7719110154
Enrollment ID: O20140509000026

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. Ms Jessica Erin Stafford 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 AddressPractice Location Address
Ms Jessica Erin Stafford, CPNP
2608 Haven Oak Ct,
Ellicott City, MD 21042-7800

Ph: (443) 564-2881
Ms Jessica Erin Stafford, CPNP
3023 Hamaker Ct,
Fairfax, VA 22031-2207

Ph: (703) 876-2788

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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