Jodilyn Jelsema, MD is a medicare enrolled "General Practice" physician in Sheffield, Alabama. Her current practice location is
500 N Montgomery Ave, Sheffield, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 386-5504.
Jodilyn Jelsema is licensed to practice in Alabama (license number 38123) 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 1518195460.
Physician's Profile
Full Name | Jodilyn Jelsema |
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Gender | Female |
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Speciality | General Practice |
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Location | 500 N Montgomery Ave, Sheffield, Alabama |
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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: 1518195460
- Provider Enumeration Date: 06/30/2009
- Last Update Date: 09/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 8628376126
- Enrollment ID: I20190910003964
Medical Identifiers
Medical identifiers for Jodilyn Jelsema such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518195460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 38123 (Alabama) | Primary |
207V00000X | Obstetrics & Gynecology | 4301094356 (Michigan) | Secondary |
208D00000X | General Practice | 4301094356 (Michigan) | Secondary |
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. Jodilyn Jelsema allows following entities to bill medicare on her behalf.
Entity Name | Shoals Primary Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326373861 PECOS PAC ID: 1557406246 Enrollment ID: O20100305000357 |
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Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210224000756 |
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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. Jodilyn Jelsema 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 |
Jodilyn Jelsema, MD 6216 66th St Apt 519, Lubbock, TX 79424-5941 Ph: (616) 706-3072 | Jodilyn Jelsema, MD 500 N Montgomery Ave, Sheffield, AL 35660-2861 Ph: (256) 386-5504 |
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