Jyesha Isis Wren, CNM, WHNP, RN is a medicare enrolled "Advanced Practice Midwife" in Belmont, California. Her current practice location is
2721 Comstock Cir, Belmont, California. You can reach out to her office (for appointments etc.) via phone at
(831) 713-6602.
Jyesha Isis Wren is licensed to practice in California (license number 235777) 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 1043675747.
Provider's Profile
Full Name | Jyesha Isis Wren |
---|
Gender | Female |
---|
Speciality | Advanced Practice Midwife |
---|
Location | 2721 Comstock Cir, Belmont, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043675747
- Provider Enumeration Date: 12/22/2015
- Last Update Date: 12/22/2015
Medicare PECOS Information:
- PECOS PAC ID: 5395035877
- Enrollment ID: I20160613001452
Medical Identifiers
Medical identifiers for Jyesha Isis Wren such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043675747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LW0102X | Nurse Practitioner - Women's Health | 95003564 (California) | Secondary |
163W00000X | Registered Nurse | 849517 (California) | Secondary |
367A00000X | Advanced Practice Midwife | 235777 (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. Jyesha Isis Wren allows following entities to bill medicare on her behalf.
Entity Name | Permanente Medical Group Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
---|
Entity Name | Alameda Health System |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1740332931 PECOS PAC ID: 3779494521 Enrollment ID: O20031110000764 |
---|
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. Jyesha Isis Wren 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 |
Jyesha Isis Wren, CNM, WHNP, RN 2721 Comstock Cir, Belmont, CA 94002-2904 Ph: (831) 713-6602 | Jyesha Isis Wren, CNM, WHNP, RN 2721 Comstock Cir, Belmont, CA 94002-2904 Ph: (831) 713-6602 |
Reviews and Comments