Kristen Renee Jessee-breeding, PAC is a medicare enrolled "Physician Assistant" in St. Paul, Virginia. Her current practice location is
16431 Wise St., St. Paul, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 762-2300.
Kristen Renee Jessee-breeding is licensed to practice in Virginia (license number 0110002222) 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 1720006000.
Provider's Profile
Full Name | Kristen Renee Jessee-breeding |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 16431 Wise St., St. Paul, Virginia |
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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: 1720006000
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 01/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 8022029834
- Enrollment ID: I20060508000914
Medical Identifiers
Medical identifiers for Kristen Renee Jessee-breeding such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720006000 | NPI | - | NPPES |
TN01A5 | Other | TN | JOHN DEERE TENNCARE |
1720006000 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 0110002222 (Virginia) | 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. Kristen Renee Jessee-breeding 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 |
Kristen Renee Jessee-breeding, PAC 16431 Wise Street, Saint Paul, VA 24283 Ph: (276) 762-2300 | Kristen Renee Jessee-breeding, PAC 16431 Wise St., St. Paul, VA 24283-0000 Ph: (276) 762-2300 |
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