Jessica Leeanne Pietersen, PA-C in Pascoag, RI - Medicare Physician Assistant

Jessica Leeanne Pietersen, PA-C is a medicare enrolled "Physician Assistant" in Pascoag, Rhode Island. Her current practice location is 36 Bridge Way, Pascoag, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 567-0800.

Jessica Leeanne Pietersen is licensed to practice in Rhode Island (license number PA01587) 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 1811689342.

Contact Information

	Jessica Leeanne Pietersen, PA-C
	36 Bridge Way, Pascoag, RI 02859-3131
	(401) 567-0800
	Not Available

Provider's Profile

Full Name	Jessica Leeanne Pietersen
Gender	Female
Speciality	Physician Assistant
Location	36 Bridge Way, Pascoag, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811689342
Provider Enumeration Date: 05/23/2023
Last Update Date: 05/23/2023

Medicare PECOS Information:

PECOS PAC ID: 2961860432
Enrollment ID: I20230615002789

Medical Identifiers

Medical identifiers for Jessica Leeanne Pietersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811689342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA01587 (Rhode Island)	Primary

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 Leeanne Pietersen 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
Jessica Leeanne Pietersen, PA-C 6 Gentian Rd, Norton, MA 02766-1624 Ph: (508) 838-4350	Jessica Leeanne Pietersen, PA-C 36 Bridge Way, Pascoag, RI 02859-3131 Ph: (401) 567-0800

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Physician Assistant Nurses in Pascoag, RI

Michael John Brunell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36 Bridge Way, Pascoag, RI 02859 Phone: 401-568-7661 Fax: 401-567-0900
Chelsea Lacasse, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36 Bridge Way, Pascoag, RI 02859 Phone: 401-567-0800 Fax: 401-568-7949

Jessica Leeanne Pietersen, PA-C - Medicare Physician Assistant in Pascoag, RI