Jesse Estrada, FNP in Saint Louis, MO - Medicare Nurse Practitioner

Jesse Estrada, FNP is a medicare enrolled "Nurse Practitioner - Family" in Saint Louis, Missouri. His current practice location is 650 Maryville University Dr, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (188) 826-6057.

Jesse Estrada is licensed to practice in Kansas (license number 5382693021) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871368522.

Contact Information

	Jesse Estrada, FNP
	650 Maryville University Dr, Saint Louis, MO 63141-7299
	(188) 826-6057
	Not Available

Map and Direction

Provider's Profile

Full Name	Jesse Estrada
Gender	Male
Speciality	Nurse Practitioner - Family
Location	650 Maryville University Dr, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871368522
Provider Enumeration Date: 11/21/2023
Last Update Date: 11/21/2023

Medicare PECOS Information:

PECOS PAC ID: 4587007257
Enrollment ID: I20240209000920

Medical Identifiers

Medical identifiers for Jesse Estrada such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871368522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5382693021 (Kansas)	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. Jesse Estrada allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Medical Associates Of Kansas Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780261701 PECOS PAC ID: 8628487998 Enrollment ID: O20210518000551

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 Estrada 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
Jesse Estrada, FNP 650 Maryville University Dr, Saint Louis, MO 63141-7299 Ph: (188) 826-6057	Jesse Estrada, FNP 650 Maryville University Dr, Saint Louis, MO 63141-7299 Ph: (188) 826-6057

Reviews and Comments

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Jesse Estrada, FNP - Medicare Nurse Practitioner in Saint Louis, MO