Ms Martha Jeannette Jolley, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Yountville, California. Her current practice location is
220 California Dr, Yountville, California. You can reach out to her office (for appointments etc.) via phone at
(707) 944-4716.
Ms Martha Jeannette Jolley is licensed to practice in California (license number 404415) 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 1710048798.
Provider's Profile
| Full Name | Ms Martha Jeannette Jolley |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 220 California Dr, Yountville, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710048798
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 03/11/2016
Medicare PECOS Information:
- PECOS PAC ID: 5193946630
- Enrollment ID: I20141024002182
Medical Identifiers
Medical identifiers for Ms Martha Jeannette Jolley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710048798 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LA2200X | Nurse Practitioner - Adult Health | 404415 (California) | 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 Martha Jeannette Jolley allows following entities to bill medicare on her behalf.
| Entity Name | Collabria Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023011178 PECOS PAC ID: 8123073707 Enrollment ID: O20171030003454 |
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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. Ms Martha Jeannette Jolley 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 |
Ms Martha Jeannette Jolley, ANP 220 California Dr, Yountville, CA 94599-1412 Ph: (707) 944-4716 | Ms Martha Jeannette Jolley, ANP 220 California Dr, Yountville, CA 94599-1412 Ph: (707) 944-4716 |
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