Jessica Rae Ebey, NP is a medicare enrolled "Nurse Practitioner - Family" in Bristol, Indiana. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Goshen Health System Inc and her current practice location is
304 E Vistula St, Bristol, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 848-4039.
Jessica Rae Ebey is licensed to practice in Indiana (license number 71011888A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134897242.
Provider's Profile
Full Name | Jessica Rae Ebey |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 3 Years |
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Location | 304 E Vistula St, Bristol, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jessica Rae Ebey graduated from nursing school in 2021
NPI Data:
- NPI Number: 1134897242
- Provider Enumeration Date: 09/02/2021
- Last Update Date: 03/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799174348
- Enrollment ID: I20211119001488
Medical Identifiers
Medical identifiers for Jessica Rae Ebey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134897242 | NPI | - | NPPES |
300057089 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 71011888A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Goshen Health System Inc | 4880598572 | 137 |
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 Rae Ebey allows following entities to bill medicare on her behalf.
Entity Name | Goshen Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194772293 PECOS PAC ID: 4880598572 Enrollment ID: O20031124000658 |
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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 Rae Ebey 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 Rae Ebey, NP 304 E Vistula St, Bristol, IN 46507-9489 Ph: (574) 848-4039 | Jessica Rae Ebey, NP 304 E Vistula St, Bristol, IN 46507-9489 Ph: (574) 848-4039 |
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