Mrs Jill S Vidrine, PA-C in Mansfield, OH - Medicare Physician Assistant

Mrs Jill S Vidrine, PA-C is a medicare enrolled "Physician Assistant" in Mansfield, Ohio. Her current practice location is 536 S Trimble Rd, Mansfield, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 756-8899.

Mrs Jill S Vidrine is licensed to practice in Ohio (license number 50.003323) 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 1114200565.

Contact Information

	Mrs Jill S Vidrine, PA-C
	536 S Trimble Rd, Mansfield, OH 44906-3418
	(419) 756-8899
	Not Available

Provider's Profile

Full Name	Mrs Jill S Vidrine
Gender	Female
Speciality	Physician Assistant
Location	536 S Trimble Rd, Mansfield, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114200565
Provider Enumeration Date: 09/22/2011
Last Update Date: 09/22/2011

Medicare PECOS Information:

PECOS PAC ID: 2567637374
Enrollment ID: I20111206000618

Medical Identifiers

Medical identifiers for Mrs Jill S Vidrine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114200565	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	50.003323 (Ohio)	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. Mrs Jill S Vidrine 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 S Vidrine, PA-C 536 S Trimble Rd, Mansfield, OH 44906-3418 Ph: () -	Mrs Jill S Vidrine, PA-C 536 S Trimble Rd, Mansfield, OH 44906-3418 Ph: (419) 756-8899

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Mrs. Lisa Valente Cox, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 335 Glessner Ave, Mansfield, OH 44903 Phone: 419-522-2734 Fax: 419-522-2240
Mr. Kyle Benjamin Gambrel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 335 Glessner Ave, Mansfield, OH 44903 Phone: 740-383-8473 Fax: 740-383-8695
Amanda Renee Movens, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 335 Glessner Ave, Mansfield, OH 44903 Phone: 740-383-8473 Fax: 740-383-8695
Marissa Catherine Lacey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 335 Glessner Ave, Mansfield, OH 44903 Phone: 419-522-2734
Emily N Keller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 335 Glessner Ave Fl Mob2, Mansfield, OH 44903 Phone: 567-241-7700 Fax: 567-241-7719
Susan K Kempf, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 629 Fox Run St, Mansfield, OH 44903 Phone: 419-961-2494

Mrs Jill S Vidrine, PA-C - Medicare Physician Assistant in Mansfield, OH