Mrs Jessica Ruth Bleyle, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Cicero, Indiana. Her current practice location is
1740 Cape Charles Ct, Cicero, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 517-3515.
Mrs Jessica Ruth Bleyle is licensed to practice in Indiana (license number 71005373A) 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 1053703900.
Provider's Profile
Full Name | Mrs Jessica Ruth Bleyle |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Family |
---|
Location | 1740 Cape Charles Ct, Cicero, Indiana |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053703900
- Provider Enumeration Date: 03/02/2015
- Last Update Date: 09/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 6709104672
- Enrollment ID: I20150406002361
Medical Identifiers
Medical identifiers for Mrs Jessica Ruth Bleyle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053703900 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71005373B (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71005373A (Indiana) | 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 Ruth Bleyle allows following entities to bill medicare on her behalf.
Entity Name | Cleanslate Medical Group Of Indiana Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515 |
---|
Entity Name | Recover Together Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1891102497 PECOS PAC ID: 7810247533 Enrollment ID: O20201029002221 |
---|
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 Ruth Bleyle 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 Ruth Bleyle, NP-C 1740 Cape Charles Ct, Cicero, IN 46034-9624 Ph: (317) 517-3515 | Mrs Jessica Ruth Bleyle, NP-C 1740 Cape Charles Ct, Cicero, IN 46034-9624 Ph: (317) 517-3515 |
Reviews and Comments