Miss Jessica Brianna Collinsworth, RN in San Diego, CA

Miss Jessica Brianna Collinsworth, RN is a medicare enrolled "Nurse Practitioner" in San Diego, California. Her current practice location is 5395 Ruffin Rd Ste 204, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 571-3630.

Miss Jessica Brianna Collinsworth is licensed to practice in California (license number 95008585) 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 1467887828.

Contact Information

	Miss Jessica Brianna Collinsworth, RN
	5395 Ruffin Rd Ste 204, San Diego, CA 92123-1338
	(858) 571-3630
	(858) 430-3146

Map and Direction

Provider's Profile

Full Name	Miss Jessica Brianna Collinsworth
Gender	Female
Speciality	Nurse Practitioner
Location	5395 Ruffin Rd Ste 204, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467887828
Provider Enumeration Date: 09/04/2013
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 5294096459
Enrollment ID: I20180302001786

Medical Identifiers

Medical identifiers for Miss Jessica Brianna Collinsworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467887828	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	843821 (California)	Secondary
363L00000X	Nurse Practitioner	95008585 (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. Miss Jessica Brianna Collinsworth allows following entities to bill medicare on her behalf.

Entity Name	John Qian Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902061070 PECOS PAC ID: 1052489309 Enrollment ID: O20081014000338

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. Miss Jessica Brianna Collinsworth 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
Miss Jessica Brianna Collinsworth, RN 798 Angus St, Paso Robles, CA 93446-4630 Ph: (805) 712-0567	Miss Jessica Brianna Collinsworth, RN 5395 Ruffin Rd Ste 204, San Diego, CA 92123-1338 Ph: (858) 571-3630

Reviews and Comments

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Miss Jessica Brianna Collinsworth, RN - Medicare Nurse Practitioner in San Diego, CA