Dr Jessica Lynn Top, MD is a medicare enrolled "Pediatrics" physician in Montgomery, Ohio. Her current practice location is
10500 Montgomery Rd, Montgomery, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 862-4074.
Dr Jessica Lynn Top is licensed to practice in Virginia (license number 0101258802) 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 1164780250.
Physician's Profile
| Full Name | Dr Jessica Lynn Top |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 10500 Montgomery Rd, Montgomery, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164780250
- Provider Enumeration Date: 04/26/2012
- Last Update Date: 07/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 8325281801
- Enrollment ID: I20220316003224
Medical Identifiers
Medical identifiers for Dr Jessica Lynn Top such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164780250 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 0101258802 (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. Dr Jessica Lynn Top allows following entities to bill medicare on her behalf.
| Entity Name | Avera Mckennan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003389206
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117 |
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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. Dr Jessica Lynn Top 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 |
|---|
Dr Jessica Lynn Top, MD
3333 Burnet Ave Ml 5021,
Cincinnati, OH 45229-3026
Ph: (513) 636-4225 | Dr Jessica Lynn Top, MD
10500 Montgomery Rd,
Montgomery, OH 45242-4402
Ph: (513) 862-4074 |
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