Jessica Marie Stanfield, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fairborn, Ohio. Her current practice location is
2555 University Dr, Fairborn, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 775-8148.
Jessica Marie Stanfield is licensed to practice in Nebraska (license number 34840) 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 1619470572.
Physician's Profile
Full Name | Jessica Marie Stanfield |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2555 University Dr, Fairborn, Ohio |
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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: 1619470572
- Provider Enumeration Date: 03/16/2018
- Last Update Date: 03/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 6901228956
- Enrollment ID: I20200619000810
Medical Identifiers
Medical identifiers for Jessica Marie Stanfield such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619470572 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 57.249690 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 34840 (Nebraska) | Primary |
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 Marie Stanfield 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 Marie Stanfield, MD 2555 University Dr, Fairborn, OH 45324-6255 Ph: (937) 775-8148 | Jessica Marie Stanfield, MD 2555 University Dr, Fairborn, OH 45324-6255 Ph: (937) 775-8148 |
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