Jessica Lynn Barnes, PA-C

Individual provider Active NPI Medical Physician Assistant · Morris Plains, NJ

NPI 1114404787 · NPPES record last updated Oct 23, 2019

Key facts

NPI
1114404787
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
License
25MP00485300 (NJ)
Practice address
130 Speedwell Ave
Morris Plains, NJ 07950-2315
Phone
(862) 242-8053
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New Jersey (299 clinicians)

Practice addresses (Care Compare)

130 Speedwell Ave
Morris Plains, NJ 07950-2315
Phone (862) 242-8053

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (908) 979-1621

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180920000189 NJ Practitioner - Physician Assistant 1355692013 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00485300 NJ Yes

Addresses

Primary practice location

130 Speedwell Ave
Morris Plains, NJ 07950-2315

Mailing address

60 W Springtown Rd
Long Valley, NJ 07853-3409
Phone (908) 907-7790

Other names

  • Mrs. Jessica Lynn Bulone Former name

Other providers in Morris Plains, NJ

All providers in Morris Plains, NJ · Medical Physician Assistant in New Jersey

Sources for this page

Verify at the official NPI Registry.