Dr Jessica Giddens, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Caseyville, Illinois. Her current practice location is
600 W Lincoln Ave, Caseyville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 310-0724.
Dr Jessica Giddens is licensed to practice in Illinois (license number 277000634) 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 1033544747.
Provider's Profile
| Full Name | Dr Jessica Giddens |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 600 W Lincoln Ave, Caseyville, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033544747
- Provider Enumeration Date: 09/12/2013
- Last Update Date: 09/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365671245
- Enrollment ID: I20140219001125
Medical Identifiers
Medical identifiers for Dr Jessica Giddens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033544747 | NPI | - | NPPES |
| 6555912834012 | Other | IL | SURESCRIPTS |
| 377000614 | Other | IL | IL PRESCRIBING LICENSE |
| 277000634 | Other | IL | STATE LICENSE IL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277000634 (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. Dr Jessica Giddens allows following entities to bill medicare on her behalf.
| Entity Name | County Of St Louis Division Of Fiscal Management |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780639088
PECOS PAC ID: 0941285720
Enrollment ID: O20040628000772 |
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| Entity Name | Compassionate Health Care Of St Louis Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679084206
PECOS PAC ID: 6103170295
Enrollment ID: O20181107003537 |
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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. Dr Jessica Giddens 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 |
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Dr Jessica Giddens, PMHNP-BC
Attn: 614835 Po Box 1409, 131 W High St. #1409,
Jefferson City, MO 65102-1720
Ph: (314) 413-6243 | Dr Jessica Giddens, PMHNP-BC
600 W Lincoln Ave,
Caseyville, IL 62232-1329
Ph: (618) 310-0724 |
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