Jessica Keim Malpass, is a medicare enrolled "Nurse Practitioner - Pediatrics, Critical Care" physician in Charlottesville, Virginia. Her current practice location is
1204 W Main St, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 443-3869.
Jessica Keim Malpass is licensed to practice in Virginia (license number 0024185295) 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 1730805557.
Physician's Profile
Full Name | Jessica Keim Malpass |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics, Critical Care |
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Location | 1204 W Main St, Charlottesville, Virginia |
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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: 1730805557
- Provider Enumeration Date: 10/13/2022
- Last Update Date: 05/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 8921464678
- Enrollment ID: I20230522003416
Medical Identifiers
Medical identifiers for Jessica Keim Malpass such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730805557 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 0024185295 (Virginia) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 0024185295 (Virginia) | Secondary |
363LP0222X | Nurse Practitioner - Pediatrics, Critical Care | 0024185295 (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. Jessica Keim Malpass allows following entities to bill medicare on her behalf.
Entity Name | University Of Virginia Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780 |
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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. Jessica Keim Malpass 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 Keim Malpass, Po Box 9007, Charlottesville, VA 22906-9007 Ph: (434) 295-1000 | Jessica Keim Malpass, 1204 W Main St, Charlottesville, VA 22903-2824 Ph: (434) 443-3869 |
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