Jessica M Mormann, NP in Yucaipa, CA - Medicare Nurse Practitioner

Jessica M Mormann, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Yucaipa, California. Her current practice location is 13441 Mesa Crest Dr, Yucaipa, California. You can reach out to her office (for appointments etc.) via phone at (760) 881-2706.

Jessica M Mormann is licensed to practice in California (license number 95020323) 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 1619626363.

Contact Information

	Jessica M Mormann, NP
	13441 Mesa Crest Dr, Yucaipa, CA 92399-5819
	(760) 881-2706
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica M Mormann
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	13441 Mesa Crest Dr, Yucaipa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619626363
Provider Enumeration Date: 03/21/2022
Last Update Date: 03/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4789069097
Enrollment ID: I20220921003775

Medical Identifiers

Medical identifiers for Jessica M Mormann such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619626363	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95020323 (California)	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 M Mormann allows following entities to bill medicare on her behalf.

Entity Name	Blue River Health & Wellness Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356073852 PECOS PAC ID: 8325429350 Enrollment ID: O20220721001592

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 M Mormann 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 M Mormann, NP 13441 Mesa Crest Dr, Yucaipa, CA 92399-5819 Ph: (760) 881-2706	Jessica M Mormann, NP 13441 Mesa Crest Dr, Yucaipa, CA 92399-5819 Ph: (760) 881-2706

Reviews and Comments

Nurse Practitioner Nurses in Yucaipa, CA

Suzanne Charlotte Moore, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Mrs. Grace Enu Clerk, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 35237 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-790-6200 Fax: 909-790-6220
Mi La Kim, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Carrie D Parrish, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Alaina Marie Helt, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11985 4th St Ste 102, Yucaipa, CA 92399 Phone: 909-747-8416
Lisa Wong-soqui, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Gilbert Agyemang-boakye, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11711 Sand Canyon Rd, Yucaipa, CA 92399 Phone: 909-389-3272

Jessica M Mormann, NP - Medicare Nurse Practitioner in Yucaipa, CA