Mr Jacob Lawrence Pessia, MS IV in Gallipolis, OH

Mr Jacob Lawrence Pessia, MS IV is a medicare enrolled "Pediatrics" physician in Gallipolis, Ohio. His current practice location is 100 Jackson Pike, Gallipolis, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 441-1949.

Mr Jacob Lawrence Pessia is licensed to practice in Ohio (license number 34.014475) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093248478.

Contact Information

	Mr Jacob Lawrence Pessia, MS IV
	100 Jackson Pike, Gallipolis, OH 45631-1560
	(740) 441-1949
	(740) 446-5982

Map and Direction

Physician's Profile

Full Name	Mr Jacob Lawrence Pessia
Gender	Male
Speciality	Pediatrics
Location	100 Jackson Pike, Gallipolis, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093248478
Provider Enumeration Date: 04/04/2017
Last Update Date: 11/09/2020

Medicare PECOS Information:

PECOS PAC ID: 8224388277
Enrollment ID: I20200813002025

Medical Identifiers

Medical identifiers for Mr Jacob Lawrence Pessia such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093248478	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	34.014475 (Ohio)	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. Mr Jacob Lawrence Pessia allows following entities to bill medicare on his behalf.

Entity Name	Holzer Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746

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. Mr Jacob Lawrence Pessia 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
Mr Jacob Lawrence Pessia, MS IV Holzer Clinic, Llc, 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 441-1949	Mr Jacob Lawrence Pessia, MS IV 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 441-1949

Reviews and Comments

Pediatrics Doctors in Gallipolis, OH

Jon M. Sullivan, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711
Jonathan Mathis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5711
Shana Allie Vore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5711
Pradeep K. Kandula, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711
Danielle T. Cappelletti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711
Il H. Kim, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711

Mr Jacob Lawrence Pessia, MS IV - Medicare Pediatrics in Gallipolis, OH