JESSICA MARY PAWLY MD
NPI 1912585969
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 31, 2021PECOS Enrolled

1215 LEE ST # 800719, CHARLOTTESVILLE, VA 22908(434) 924-2150(434) 924-6805 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jessica Mary Pawly Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA MARY PAWLY MD (NPI 1912585969) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912585969

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJESSICA MARY PAWLYCredential: MD

Location Address1215 LEE ST # 800719Charlottesville, VA 22908-0816

Mailing Address1215 Lee St # 800719Charlottesville, VA 22908-0816 · (434) 924-2150 · Fax (434) 924-6805

Phone(434) 924-2150

Fax(434) 924-6805

Sole ProprietorNo

Enumeration DateMarch 31, 2021

NPPES CertifiedMarch 31, 2021

✔ NPI 1912585969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1215 LEE ST # 800719, Charlottesville, VA 22908

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Mary Pawly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.