Mrs Jessica Cornelia Woodall, APRN in Jacksonville, FL

Mrs Jessica Cornelia Woodall, APRN is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. Her current practice location is 4866 Big Island Dr Unit 5, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 652-0652.

Mrs Jessica Cornelia Woodall is licensed to practice in Florida (license number 11015255) 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 1114563301.

Contact Information

	Mrs Jessica Cornelia Woodall, APRN
	4866 Big Island Dr Unit 5, Jacksonville, FL 32246-5301
	(904) 652-0652
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jessica Cornelia Woodall
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4866 Big Island Dr Unit 5, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114563301
Provider Enumeration Date: 11/21/2019
Last Update Date: 10/28/2021

Medicare PECOS Information:

PECOS PAC ID: 5294180493
Enrollment ID: I20231009000034

Medical Identifiers

Medical identifiers for Mrs Jessica Cornelia Woodall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114563301	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11015255 (Florida)	Primary
163WP0200X	Registered Nurse - Pediatrics	9435365 (Florida)	Secondary

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. Mrs Jessica Cornelia Woodall allows following entities to bill medicare on her behalf.

Entity Name	Total Foot Care And Wellness Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578938684 PECOS PAC ID: 3870892805 Enrollment ID: O20160426001632

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. Mrs Jessica Cornelia Woodall 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
Mrs Jessica Cornelia Woodall, APRN 2411 Covington Creek Cir W, Jacksonville, FL 32224-1181 Ph: (954) 303-0419	Mrs Jessica Cornelia Woodall, APRN 4866 Big Island Dr Unit 5, Jacksonville, FL 32246-5301 Ph: (904) 652-0652

Reviews and Comments

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Mrs Jessica Cornelia Woodall, APRN - Medicare Nurse Practitioner in Jacksonville, FL