Jessica Leeanne Pietersen, PA-C is a medicare enrolled "Physician Assistant" in Pascoag, Rhode Island. Her current practice location is
36 Bridge Way, Pascoag, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 567-0800.
Jessica Leeanne Pietersen is licensed to practice in Rhode Island (license number PA01587) 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 1811689342.
Provider's Profile
Full Name | Jessica Leeanne Pietersen |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 36 Bridge Way, Pascoag, Rhode Island |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811689342
- Provider Enumeration Date: 05/23/2023
- Last Update Date: 05/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961860432
- Enrollment ID: I20230615002789
Medical Identifiers
Medical identifiers for Jessica Leeanne Pietersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811689342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA01587 (Rhode Island) | Primary |
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 Leeanne Pietersen 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 Leeanne Pietersen, PA-C 6 Gentian Rd, Norton, MA 02766-1624 Ph: (508) 838-4350 | Jessica Leeanne Pietersen, PA-C 36 Bridge Way, Pascoag, RI 02859-3131 Ph: (401) 567-0800 |
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