Adreia Jenice Jessop, ARNP, CNM, IBCLC is a medicare enrolled "Nurse Practitioner - Women's Health" in Kelso, Washington. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Cowlitz Family Health Center and her current practice location is
300 Oak St, Kelso, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 353-5511.
Adreia Jenice Jessop is licensed to practice in Washington (license number AP60799447) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1972021087.
Provider's Profile
| Full Name | Adreia Jenice Jessop |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 7 Years |
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| Location | 300 Oak St, Kelso, Washington |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Adreia Jenice Jessop graduated from nursing school in 2017
NPI Data:
- NPI Number: 1972021087
- Provider Enumeration Date: 09/08/2017
- Last Update Date: 02/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183977028
- Enrollment ID: I20181023003191
Medical Identifiers
Medical identifiers for Adreia Jenice Jessop such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972021087 | NPI | - | NPPES |
| AP60799447 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
| 2105815 | Medicaid | WA | |
| RN00157790 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WL0100X | Registered Nurse - Lactation Consultant | RN00157790 (Washington) | Secondary |
| 367A00000X | Advanced Practice Midwife | AP60799447 (Washington) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | AP60799447 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cowlitz Family Health Center | 5991696395 | 19 |
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. Adreia Jenice Jessop allows following entities to bill medicare on her behalf.
| Entity Name | Cowlitz Family Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891724506
PECOS PAC ID: 5991696395
Enrollment ID: O20040324000330 |
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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. Adreia Jenice Jessop 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 |
|---|
Adreia Jenice Jessop, ARNP, CNM, IBCLC
1057 12th Ave,
Longview, WA 98632-2509
Ph: (360) 353-5511 | Adreia Jenice Jessop, ARNP, CNM, IBCLC
300 Oak St,
Kelso, WA 98626
Ph: (360) 353-5511 |
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