Mrs Jill Suzanne Coda, CRNP in Middletown, MD

Mrs Jill Suzanne Coda, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Middletown, Maryland. Her current practice location is 300 S Church St, Middletown, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 371-9000.

Mrs Jill Suzanne Coda is licensed to practice in Maryland (license number R225106) 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 1093286601.

Contact Information

	Mrs Jill Suzanne Coda, CRNP
	300 S Church St, Middletown, MD 21769-8043
	(301) 371-9000
	(301) 371-8905

Map and Direction

Provider's Profile

Full Name	Mrs Jill Suzanne Coda
Gender	Female
Speciality	Nurse Practitioner - Family
Location	300 S Church St, Middletown, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093286601
Provider Enumeration Date: 12/07/2018
Last Update Date: 02/24/2023

Medicare PECOS Information:

PECOS PAC ID: 4789921669
Enrollment ID: I20190131000077

Medical Identifiers

Medical identifiers for Mrs Jill Suzanne Coda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093286601	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP019745 (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	R225106 (Maryland)	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 Jill Suzanne Coda allows following entities to bill medicare on her behalf.

Entity Name	Wellspan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815

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 Jill Suzanne Coda 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 Jill Suzanne Coda, CRNP Po Box 20, Middletown, MD 21769-0020 Ph: (301) 371-9000	Mrs Jill Suzanne Coda, CRNP 300 S Church St, Middletown, MD 21769-8043 Ph: (301) 371-9000

Reviews and Comments

Nurse Practitioner Nurses in Middletown, MD

Zachary D Butt, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S Church St, Middletown, MD 21769 Phone: 301-371-9000 Fax: 301-371-8905
Amy Gallaway, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 S Church St, Middletown, MD 21769 Phone: 301-371-9000 Fax: 301-371-8905
Michele Wilson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7107 Crystal Ct, Middletown, MD 21769 Phone: 240-353-5462
Selina M Jones, FNP-BC, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 W Main St, Middletown, MD 21769 Phone: 888-808-6483
Amy Elizabeth Heltemes, NP-C, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S Church St, Middletown, MD 21769 Phone: 301-371-9000 Fax: 301-371-8905
William Haynes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7101 Flint Ct, Middletown, MD 21769 Phone: 240-675-4393

Mrs Jill Suzanne Coda, CRNP - Medicare Nurse Practitioner in Middletown, MD