Mrs Jessica L Misiti, ARNP is a medicare enrolled "Radiology - Diagnostic Radiology" in El Segundo, California. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mori Bean And Brooks Inc and her current practice location is
2330 Utah Ave, El Segundo, California. You can reach out to her office (for appointments etc.) via phone at
(424) 290-8004.
Mrs Jessica L Misiti is licensed to practice in Florida (license number 1477926053) 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 1477926053.
Provider's Profile
| Full Name | Mrs Jessica L Misiti |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 2330 Utah Ave, El Segundo, California |
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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 L Misiti graduated from nursing school in 2015
NPI Data:
- NPI Number: 1477926053
- Provider Enumeration Date: 11/04/2015
- Last Update Date: 01/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 3779841861
- Enrollment ID: I20171219001276
Medical Identifiers
Medical identifiers for Mrs Jessica L Misiti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477926053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 9274400 (Florida) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 1477926053 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mori Bean And Brooks Inc | 8820077878 | 617 |
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. Mrs Jessica L Misiti allows following entities to bill medicare on her behalf.
| Entity Name | Mori Bean And Brooks Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
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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. Mrs Jessica L Misiti 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 L Misiti, ARNP 2330 Utah Ave, El Segundo, CA 90245-4817 Ph: (424) 290-8004 | Mrs Jessica L Misiti, ARNP 2330 Utah Ave, El Segundo, CA 90245-4817 Ph: (424) 290-8004 |
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