Mrs Jessica Denise Modisette, APRN in Longview, TX

Mrs Jessica Denise Modisette, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Longview, Texas. Her current practice location is 707 E Marshall Ave, Longview, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 315-5400.

Mrs Jessica Denise Modisette is licensed to practice in Texas (license number 1073260) 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 1386393213.

Contact Information

	Mrs Jessica Denise Modisette, APRN
	707 E Marshall Ave, Longview, TX 75601-5545
	(903) 315-5400
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jessica Denise Modisette
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	707 E Marshall Ave, Longview, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386393213
Provider Enumeration Date: 03/18/2022
Last Update Date: 05/05/2022

Medicare PECOS Information:

PECOS PAC ID: 5597145045
Enrollment ID: I20220630001695

Medical Identifiers

Medical identifiers for Mrs Jessica Denise Modisette such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386393213	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	833036 (Texas)	Secondary
363L00000X	Nurse Practitioner	1073260 (Texas)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	1073260 (Texas)	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. Mrs Jessica Denise Modisette allows following entities to bill medicare on her behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

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 Denise Modisette 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 Denise Modisette, APRN 707 E Marshall Ave, Longview, TX 75601-5545 Ph: (903) 315-5400	Mrs Jessica Denise Modisette, APRN 707 E Marshall Ave, Longview, TX 75601-5545 Ph: (903) 315-5400

Reviews and Comments

Nurse Practitioner Nurses in Longview, TX

Sarah Faye Earnest, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 N 4th St, Longview, TX 75601 Phone: 903-234-8808 Fax: 903-234-9769
Christina Lea Croley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 E Marshall Ave Ste 200, Longview, TX 75601 Phone: 903-236-2222
Dorothy Mckenzie Womack, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948
Mary Mckenzie, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 W Loop 281, Longview, TX 75604 Phone: 903-295-1396
Ms. Erica O Salami, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 703 E Marshall Ave Ste 4003, Longview, TX 75601 Phone: 903-315-2032
Jennifer Borrego, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 Fax: 903-315-1656
Christy Anne Cobb, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-291-6223 Fax: 903-291-6222

Mrs Jessica Denise Modisette, APRN - Medicare Nurse Practitioner in Longview, TX