Mrs Jessica Arbeth Maddox Vann, APN is a medicare enrolled "Nurse Practitioner - Gerontology" in Penns Grove, New Jersey. Her current practice location is
106 Lupine Ln, Penns Grove, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 617-5229.
Mrs Jessica Arbeth Maddox Vann is licensed to practice in Pennsylvania (license number SP008840) 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 1710037163.
Provider's Profile
Full Name | Mrs Jessica Arbeth Maddox Vann |
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Gender | Female |
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Speciality | Nurse Practitioner - Gerontology |
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Location | 106 Lupine Ln, Penns Grove, New Jersey |
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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: 1710037163
- Provider Enumeration Date: 01/10/2007
- Last Update Date: 10/30/2011
Medicare PECOS Information:
- PECOS PAC ID: 8022176858
- Enrollment ID: I20100412000057
Medical Identifiers
Medical identifiers for Mrs Jessica Arbeth Maddox Vann such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710037163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LG0600X | Nurse Practitioner - Gerontology | SP008840 (Pennsylvania) | Primary |
363LG0600X | Nurse Practitioner - Gerontology | 26NJ00325000 (New Jersey) | Secondary |
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. Mrs Jessica Arbeth Maddox Vann allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512002242 |
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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. Mrs Jessica Arbeth Maddox Vann 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 |
Mrs Jessica Arbeth Maddox Vann, APN 106 Lupine Ln, Penns Grove, NJ 08069-2241 Ph: () - | Mrs Jessica Arbeth Maddox Vann, APN 106 Lupine Ln, Penns Grove, NJ 08069-2241 Ph: (609) 617-5229 |
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