Audrey Jessup, CNM is a medicare enrolled "Advanced Practice Midwife" in Los Lunas, New Mexico. Her current practice location is
145 Don Pasqual Rd Nw, Los Lunas, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 873-7400.
Audrey Jessup is licensed to practice in New Mexico (license number 892) 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 1780405035.
Provider's Profile
Full Name | Audrey Jessup |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 145 Don Pasqual Rd Nw, Los Lunas, New Mexico |
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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: 1780405035
- Provider Enumeration Date: 10/21/2024
- Last Update Date: 11/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628504701
- Enrollment ID: I20241212002220
Medical Identifiers
Medical identifiers for Audrey Jessup such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780405035 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 892 (New Mexico) | 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. Audrey Jessup allows following entities to bill medicare on her behalf.
Entity Name | Unm Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
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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. Audrey Jessup 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 |
Audrey Jessup, CNM 800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310 Ph: (505) 272-1476 | Audrey Jessup, CNM 145 Don Pasqual Rd Nw, Los Lunas, NM 87031-8841 Ph: (505) 873-7400 |
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