Jessica L Fong, in Crystal River, FL - Medicare Nurse Practitioner

Jessica L Fong, is a medicare enrolled "Nurse Practitioner - Family" in Crystal River, Florida. Her current practice location is 1250 N Vantage Point Dr, Crystal River, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 795-0644.

Jessica L Fong is licensed to practice in Florida (license number 11029103) 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 1629859335.

Contact Information

	Jessica L Fong,
	1250 N Vantage Point Dr, Crystal River, FL 34429-5736
	(352) 795-0644
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica L Fong
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1250 N Vantage Point Dr, Crystal River, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629859335
Provider Enumeration Date: 10/09/2023
Last Update Date: 10/09/2023

Medicare PECOS Information:

PECOS PAC ID: 4385091818
Enrollment ID: I20231106001453

Medical Identifiers

Medical identifiers for Jessica L Fong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629859335	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11029103 (Florida)	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 L Fong allows following entities to bill medicare on her behalf.

Entity Name	Meadowcrest Family Physicians Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396981528 PECOS PAC ID: 5597784199 Enrollment ID: O20051114000195

Entity Name	Meadowcrest Healthcare Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891541421 PECOS PAC ID: 2163864018 Enrollment ID: O20240523003454

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 L Fong 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 L Fong, 24 S Osceola St, Beverly Hills, FL 34465-3650 Ph: (352) 598-9133	Jessica L Fong, 1250 N Vantage Point Dr, Crystal River, FL 34429-5736 Ph: (352) 795-0644

Reviews and Comments

Nurse Practitioner Nurses in Crystal River, FL

Jan Michelle Lomanta Roflo, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6216 W Gulf To Lake Hwy, Crystal River, FL 34429 Phone: 352-613-5853
Dawn Starre Coull, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6201 N Suncoast Blvd, Crystal River, FL 34428 Phone: 352-795-6560
Jacqueline Duncan, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6151 N Suncoast Blvd, Suite 1c, Crystal River, FL 34428 Phone: 352-794-0878 Fax: 352-794-0877
Mrs. Amanda Carroll Dickert, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6199 W Gulf To Lake Hwy, Crystal River, FL 34429 Phone: 352-795-0644
Ms. Janet K Slawinski, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7562 W Gulf To Lake Hwy, Crystal River, FL 34429 Phone: 352-436-4328 Fax: 352-260-0960
Mary-ellen Macdonald, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6038 W Nordling Loop, Crystal River, FL 34429 Phone: 352-563-5070 Fax: 352-795-4322
Mrs. Margie Maureen Leturno, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7006 W Gulf To Lake Hwy, Crystal River, FL 34429 Phone: 352-795-8309 Fax: 352-795-8369

Jessica L Fong, - Medicare Nurse Practitioner in Crystal River, FL