Jessica Le Severson, MD is a medicare enrolled "Dermatology" physician in Batavia, New York. She went to University Of North Dakota School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Western New York Medical Practice Pc and her current practice location is
229 Summit St, Suite 7, Batavia, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 344-4811.
Jessica Le Severson is licensed to practice in New York (license number 224394) 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 1922171610.
Physician's Profile
Full Name | Jessica Le Severson |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 28 Years |
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Location | 229 Summit St, Batavia, New York |
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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 Le Severson attended and graduated from University Of North Dakota School Of Medicine in 1996
NPI Data:
- NPI Number: 1922171610
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 03/17/2011
Medicare PECOS Information:
- PECOS PAC ID: 1850586199
- Enrollment ID: I20101111000906
Medical Identifiers
Medical identifiers for Jessica Le Severson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922171610 | NPI | - | NPPES |
000919915002 | Other | NY | COMMUNITY BLUE |
00025998201 | Other | NY | UNIVERA |
7851362 | Other | NY | AETNA INSURANCE |
G0183268190 | Other | NY | BLUE CHOICE GROUP NUMBER |
P010224394 | Other | NY | BLUE CHOICE |
2200273 | Other | NY | GHI |
109598 | Other | NY | PREFERRED CARE |
000919915002 | Other | NY | BLUE CROSS OF WNY |
0311421 | Other | NY | INDEPENDENT HEALTH |
P010224394 | Other | NY | ROCHESTER BLUE CROSS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 224394 (New York) | Primary |
207N00000X | Dermatology | 7901 (North Dakota) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Western New York Medical Practice Pc | 3870767791 | 409 |
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 Le Severson allows following entities to bill medicare on her behalf.
Entity Name | Rochester General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
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Entity Name | Western New York Medical Practice Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
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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 Le Severson 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 Le Severson, MD 601 Elmwood Ave, Box 697, Rochester, NY 14642-0001 Ph: (585) 275-7546 | Jessica Le Severson, MD 229 Summit St, Suite 7, Batavia, NY 14020-1645 Ph: (585) 344-4811 |
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