Jessica E Lucca, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Springfield, Illinois. She went to Saint Louis University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Medical Center and her current practice location is
319 E Madison St Ste 1f, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 788-3948.
Jessica E Lucca is licensed to practice in Illinois (license number 209.012661) 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 1265827729.
Physician's Profile
| Full Name | Jessica E Lucca |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 10 Years |
|---|
| Location | 319 E Madison St Ste 1f, Springfield, Illinois |
|---|
| 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:
- Jessica E Lucca attended and graduated from Saint Louis University School Of Medicine in 2014
NPI Data:
- NPI Number: 1265827729
- Provider Enumeration Date: 04/01/2015
- Last Update Date: 12/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 4284954488
- Enrollment ID: I20150528002095
Medical Identifiers
Medical identifiers for Jessica E Lucca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265827729 | NPI | - | NPPES |
| 041.375925 | Other | IL | RN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RC0001X | Internal Medicine - Clinical Cardiac Electrophysiology | 209.012661 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209012661 (Illinois) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 209.012661 (Illinois) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 209.012661 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Memorial Medical Center | 7315835949 | 111 |
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. Jessica E Lucca allows following entities to bill medicare on her behalf.
| Entity Name | Memorial Medical Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1033171343
PECOS PAC ID: 7315835949
Enrollment ID: O20040305000989 |
|---|
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. Jessica E Lucca 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 |
|---|
Jessica E Lucca, AGACNP-BC
Po Box 3428,
Springfield, IL 62708-3428
Ph: (217) 788-3948 | Jessica E Lucca, AGACNP-BC
319 E Madison St Ste 1f,
Springfield, IL 62701-3118
Ph: (217) 788-3948 |
Reviews and Comments