Mrs Vanessa Louise Jefferson, MSN, C-ANP, CDE is a medicare enrolled "Internal Medicine" in New Haven, Connecticut. Her current practice location is
55 Lock Street, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 432-0076.
Mrs Vanessa Louise Jefferson is licensed to practice in Connecticut (license number 002035) 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 1093926784.
Provider's Profile
Full Name | Mrs Vanessa Louise Jefferson |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 55 Lock Street, New Haven, Connecticut |
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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: 1093926784
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 12/29/2010
Medicare PECOS Information:
- PECOS PAC ID: 1456414994
- Enrollment ID: I20090109000671
Medical Identifiers
Medical identifiers for Mrs Vanessa Louise Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093926784 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | 002035 (Connecticut) | Secondary |
207R00000X | Internal Medicine | 002035 (Connecticut) | 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 Vanessa Louise Jefferson allows following entities to bill medicare on her behalf.
Entity Name | Yale University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093862740 PECOS PAC ID: 9436061736 Enrollment ID: O20031124000690 |
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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 Vanessa Louise Jefferson 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 Vanessa Louise Jefferson, MSN, C-ANP, CDE Po Box 208237, 55 Lock Street, New Haven, CT 06520-8237 Ph: (203) 432-0076 | Mrs Vanessa Louise Jefferson, MSN, C-ANP, CDE 55 Lock Street, New Haven, CT 06520-8237 Ph: (203) 432-0076 |
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