Jessica A Gumucio, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Adult Health" provider in Cleveland, Ohio. Her current practice location is
9500 Euclid Ave, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 444-8078.
Jessica A Gumucio is licensed to practice in Ohio (license number APRN.CNP.021264) 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 1669652400.
Healthcare Provider's Profile
| Full Name | Jessica A Gumucio |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 9500 Euclid Ave, Cleveland, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1669652400
- Provider Enumeration Date: 11/09/2007
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820362940
- Enrollment ID: I20170927003274
Medical Identifiers
Medical identifiers for Jessica A Gumucio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669652400 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | SP.8880 (Ohio) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | APRN.CNP.021264 (Ohio) | 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. Jessica A Gumucio allows following entities to bill medicare on her behalf.
| Provider Name | The Cleveland Clinic Foundation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049 |
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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. Jessica A Gumucio 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 |
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Jessica A Gumucio, NURSE PRACTITIONER
33355 Health Campus Blvd,,
Avon, OH 44011-4404
Ph: (216) 445-8442 | Jessica A Gumucio, NURSE PRACTITIONER
9500 Euclid Ave,
Cleveland, OH 44195-2811
Ph: (216) 444-8078 |
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