Jacqueline Rita De Jesse, OD in Brookhaven, PA - Medicare Optometrist Provider

Jacqueline Rita De Jesse, OD is a medicare enrolled "Optometrist" provider in Brookhaven, Pennsylvania. Her current practice location is 4106 Edgmont Ave, Brookhaven, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 872-8989.

Jacqueline Rita De Jesse is licensed to practice in Pennsylvania (license number OEGOO1547) 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 1164419115.

Contact Information

	Jacqueline Rita De Jesse, OD
	4106 Edgmont Ave, Brookhaven, PA 19015-2314
	(610) 872-8989
	(610) 872-5220

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Rita De Jesse
Gender	Female
Speciality	Optometrist
Location	4106 Edgmont Ave, Brookhaven, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164419115
Provider Enumeration Date: 10/04/2005
Last Update Date: 11/25/2008

Medicare PECOS Information:

PECOS PAC ID: 5092751271
Enrollment ID: I20050629000120

Medical Identifiers

Medical identifiers for Jacqueline Rita De Jesse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164419115	NPI	-	NPPES
064195	Other	PA	HIGHMARK
442580095	Other	PA	RAILROAD MEDICARE
0005487270005	Medicaid	PA
5704053	Other	PA	AETNA NON-HMO
0055699	Other	PA	AETNA HMO
0062198000	Other	PA	INDEPENDENCE BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OEGOO1547 (Pennsylvania)	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. Jacqueline Rita De Jesse allows following entities to bill medicare on her behalf.

Provider Name	Brookhaven Family Eye Care Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1760490494 PECOS PAC ID: 1557349768 Enrollment ID: O20040713000476

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. Jacqueline Rita De Jesse 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
Jacqueline Rita De Jesse, OD 4106 Edgmont Ave, Brookhaven, PA 19015-2314 Ph: (610) 872-8989	Jacqueline Rita De Jesse, OD 4106 Edgmont Ave, Brookhaven, PA 19015-2314 Ph: (610) 872-8989

Reviews and Comments

Optometrist in Brookhaven, PA

Craig A. Cassey O D P C Optometrist Medicare: Medicare Enrolled Practice Location: 4590 Edgmont Ave, Brookhaven, PA 19015 Phone: 610-872-6077 Fax: 610-872-2845
Dr. Craig A Cassey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4590 Edgmont Ave, Brookhaven, PA 19015 Phone: 610-872-6077 Fax: 610-872-2845
Gary E. Oliver, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4590 Edgmont Ave, Brookhaven, PA 19015 Phone: 610-872-6077 Fax: 610-872-2845
Dr. Oladipo O Itabiyi, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 1234 Harshaw Rd, Brookhaven, PA 19015 Phone: 610-876-1744 Fax: 610-876-1744

Jacqueline Rita De Jesse, OD - Medicare Optometrist in Brookhaven, PA