Jessica R Miskell, INDEPENDENT APN is a medicare enrolled "Nurse Practitioner - Family" physician in Ottawa, Illinois. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
218 W Madison St, Ottawa, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 431-1122.
Jessica R Miskell is licensed to practice in Illinois (license number 277000895) 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 1710256631.
Physician's Profile
| Full Name | Jessica R Miskell |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 218 W Madison St, Ottawa, Illinois |
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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. |
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Medical Education and Training:
- Jessica R Miskell graduated from medical school in 2011
NPI Data:
- NPI Number: 1710256631
- Provider Enumeration Date: 12/21/2011
- Last Update Date: 02/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082878459
- Enrollment ID: I20120614000641
Medical Identifiers
Medical identifiers for Jessica R Miskell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710256631 | NPI | - | NPPES |
| 277000895 | Other | IL | FULL PRACTICE AUTHORITY APN |
| 1710256631 | Other | IL | NPI |
| 2011016696 | Other | IL | BOARD CERTIFIED BY ANCC |
| 14D2107071 | Other | IL | CLIA EXP 1/5/22 |
| 1750756979 | Other | IL | GROUP NPI |
| 041326705 | Other | IL | REGISTERED NURSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 209009286 (Illinois) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 209009286 (Illinois) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | 277000895 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209009286 (Illinois) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 277000895 (Illinois) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 209009286 (Illinois) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 277000895 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 277000895 (Illinois) | 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 R Miskell allows following entities to bill medicare on her behalf.
| Entity Name | Miskell Medical Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750756979
PECOS PAC ID: 5294037370
Enrollment ID: O20160106001378 |
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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 R Miskell 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 R Miskell, INDEPENDENT APN
218 W Madison St,
Ottawa, IL 61350-2819
Ph: (815) 431-1122 | Jessica R Miskell, INDEPENDENT APN
218 W Madison St,
Ottawa, IL 61350-2819
Ph: (815) 431-1122 |
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