Jessica H Gaylord, FNP in Flagstaff, AZ - Medicare Nurse Practitioner

Jessica H Gaylord, FNP is a medicare enrolled "Nurse Practitioner - Family" in Flagstaff, Arizona. Her current practice location is 2920 N 4th St, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 233-5110.

Jessica H Gaylord is licensed to practice in Arizona (license number AP2537) 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 1861546384.

Contact Information

	Jessica H Gaylord, FNP
	2920 N 4th St, Flagstaff, AZ 86004-1816
	(928) 233-5110
	(928) 774-4808

Map and Direction

Provider's Profile

Full Name	Jessica H Gaylord
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2920 N 4th St, Flagstaff, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861546384
Provider Enumeration Date: 01/22/2007
Last Update Date: 10/21/2013

Medicare PECOS Information:

PECOS PAC ID: 3072662261
Enrollment ID: I20090518000567

Medical Identifiers

Medical identifiers for Jessica H Gaylord such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861546384	NPI	-	NPPES
418354	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP2537 (Arizona)	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. Jessica H Gaylord allows following entities to bill medicare on her behalf.

Entity Name	North Country Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073583472 PECOS PAC ID: 8820981053 Enrollment ID: O20040210001107

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. Jessica H Gaylord 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
Jessica H Gaylord, FNP Po Box 3630, Flagstaff, AZ 86003-3630 Ph: (928) 213-6100	Jessica H Gaylord, FNP 2920 N 4th St, Flagstaff, AZ 86004-1816 Ph: (928) 233-5110

Reviews and Comments

Nurse Practitioner Nurses in Flagstaff, AZ

Dr. Sarah Lynn Salce, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 S Thompson St, Flagstaff, AZ 86001 Phone: 928-226-6400 Fax: 928-226-6401
Wyatt D Woodard, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 N Leroux St, Ste B, Flagstaff, AZ 86001 Phone: 928-779-0361 Fax: 928-779-7143
Mr. Richard R Valdes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-213-6100 Fax: 928-774-4808
Ms. Sherry Ann Mace, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 301, Flagstaff, AZ 86001 Phone: 928-773-2538
Ms. Julie Marie Polzin, RN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Suite 201, Flagstaff, AZ 86001 Phone: 928-913-8800 Fax: 928-913-8801
Dr. Evenstar Amelia Forbach, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7510 W Bridle Trl, Flagstaff, AZ 86001 Phone: 928-600-1731
Ms. Sarah Mcnaughton Preston, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1424 N Evergreen Dr, Flagstaff, AZ 86001 Phone: 928-699-9777

Jessica H Gaylord, FNP - Medicare Nurse Practitioner in Flagstaff, AZ