Jessica Santiccioli, - Medicare Nurse Practitioner in Brockton, MA

Jessica Santiccioli, is a medicare enrolled "Nurse Practitioner - Family" in Brockton, Massachusetts. Her current practice location is 63 Main St, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 559-6699.

Jessica Santiccioli is licensed to practice in Massachusetts (license number RN2306669) 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 1003338088.

Contact Information

Jessica Santiccioli,
63 Main St,
Brockton, MA 02301-4042
(508) 559-6699
Not Available



Provider's Profile

Full NameJessica Santiccioli
GenderFemale
SpecialityNurse Practitioner - Family
Location63 Main St, Brockton, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003338088
  • Provider Enumeration Date: 07/12/2017
  • Last Update Date: 07/12/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7315213816
  • Enrollment ID: I20171028000356

Medical Identifiers

Medical identifiers for Jessica Santiccioli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003338088NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN2306669 (Massachusetts)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 Santiccioli allows following entities to bill medicare on her behalf.
Entity NameLowney Medical Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447315239
PECOS PAC ID: 9234205394
Enrollment ID: O20080915000198

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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 Santiccioli 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 AddressPractice Location Address
Jessica Santiccioli,
63 Main St,
Brockton, MA 02301-4042

Ph: (508) 559-6699
Jessica Santiccioli,
63 Main St,
Brockton, MA 02301-4042

Ph: (508) 559-6699

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Nurse Practitioner Nurses in Brockton, MA

Christine Nichole Lattuada, PNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 Pearl St, Suite 2000, Brockton, MA 02301
Phone: 508-894-8577    Fax: 508-894-8578
Rebecca Match,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 20 Meadowbrook Rd, Brockton, MA 02301
Phone: 508-638-6006    
Nnemeka A Okpala, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 529 Pearl St, Brockton, MA 02301
Phone: 617-922-4626    
Mrs. Rena B Levy, MSN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 110 Liberty St, Brockton, MA 02301
Phone: 508-894-0400    Fax: 508-894-0412
Maxine Dube, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 77 Byron Ave # 2, Brockton, MA 02301
Phone: 508-583-7595    
Lauren Kaplan, CPNP-PC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1324 Belmont St Ste 105, Brockton, MA 02301
Phone: 617-571-6732    

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