Jacquelyn G Stephenson, CNM is a medicare enrolled "Midwife" in Chesapeake, Virginia. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Chesapeake Regional Medical Group and her current practice location is
113 Gainsborough Sq Ste 201, Chesapeake, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 842-4620.
Jacquelyn G Stephenson is licensed to practice in Virginia (license number 0024164424) 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 1053556209.
Provider's Profile
| Full Name | Jacquelyn G Stephenson |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 24 Years |
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| Location | 113 Gainsborough Sq Ste 201, Chesapeake, 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:
- Jacquelyn G Stephenson graduated from nursing school in 2000
NPI Data:
- NPI Number: 1053556209
- Provider Enumeration Date: 12/02/2008
- Last Update Date: 06/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971667221
- Enrollment ID: I20090212000631
Medical Identifiers
Medical identifiers for Jacquelyn G Stephenson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053556209 | NPI | - | NPPES |
| 1053556209 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 0001137127 (Virginia) | Secondary |
| 363L00000X | Nurse Practitioner | 0024164424 (Virginia) | Secondary |
| 176B00000X | Midwife | 0024164424 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Chesapeake Regional Medical Group | 8426113663 | 95 |
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. Jacquelyn G Stephenson allows following entities to bill medicare on her behalf.
| Entity Name | Chesapeake Regional Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699940270
PECOS PAC ID: 8426113663
Enrollment ID: O20090223000187 |
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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. Jacquelyn G Stephenson 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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Jacquelyn G Stephenson, CNM
667 Kingsborough Sq Ste 101,
Chesapeake, VA 23320-4999
Ph: (757) 842-4481 | Jacquelyn G Stephenson, CNM
113 Gainsborough Sq Ste 201,
Chesapeake, VA 23320-1714
Ph: (757) 842-4620 |
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