Jesse D Minor, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Port Allegany, Pennsylvania. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Charles Cole Memorial Hospital and his current practice location is
45 Pine Street, Port Allegany, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(814) 642-9655.
Jesse D Minor is licensed to practice in Pennsylvania (license number SP024095) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023782661.
Provider's Profile
| Full Name | Jesse D Minor |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 45 Pine Street, Port Allegany, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He 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:
- Jesse D Minor graduated from nursing school in 2021
NPI Data:
- NPI Number: 1023782661
- Provider Enumeration Date: 08/06/2021
- Last Update Date: 08/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 5294139267
- Enrollment ID: I20210812002842
Medical Identifiers
Medical identifiers for Jesse D Minor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023782661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | SP024095 (Pennsylvania) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Upmc Cole | Coudersport, PA | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Charles Cole Memorial Hospital | 3779487475 | 49 |
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. Jesse D Minor allows following entities to bill medicare on his behalf.
| Entity Name | Charles Cole Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326161662
PECOS PAC ID: 3779487475
Enrollment ID: O20040310001269 |
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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. Jesse D Minor 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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Jesse D Minor, CRNP
1001 E 2nd St,
Coudersport, PA 16915-8161
Ph: (814) 274-9300 | Jesse D Minor, CRNP
45 Pine Street,
Port Allegany, PA 16915
Ph: (814) 642-9655 |
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