Jacqueline Renee Perdue, PA-C is a medicare enrolled "Physician Assistant" in Moneta, Virginia. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Centra Medical Group Llc, Community Access Network and her current practice location is
4830 Rucker Rd, Moneta, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 297-7181.
Jacqueline Renee Perdue is licensed to practice in Virginia (license number 0110-006377) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013490655.
Provider's Profile
| Full Name | Jacqueline Renee Perdue |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 4830 Rucker Rd, Moneta, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacqueline Renee Perdue graduated from nursing school in 2018
NPI Data:
- NPI Number: 1013490655
- Provider Enumeration Date: 09/10/2018
- Last Update Date: 09/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 7214281856
- Enrollment ID: I20181116001383
Medical Identifiers
Medical identifiers for Jacqueline Renee Perdue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013490655 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 0110-006377 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Centra Medical Group Llc | 4789606088 | 636 |
| Community Access Network | 8224333026 | 20 |
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. Jacqueline Renee Perdue 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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Jacqueline Renee Perdue, PA-C
1293 Red Fox Ln,
Moneta, VA 24121-2963
Ph: (804) 720-4852 | Jacqueline Renee Perdue, PA-C
4830 Rucker Rd,
Moneta, VA 24121-5281
Ph: (540) 297-7181 |
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