Dr Craig Jorden Jr, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Ruskin, Florida. His current practice location is
312 Shell Manor Dr, Ruskin, Florida. You can reach out to his office (for appointments etc.) via phone at
(813) 497-0497.
Dr Craig Jorden Jr is licensed to practice in Florida (license number 11011653) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184218695.
Physician's Profile
| Full Name | Dr Craig Jorden Jr |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 312 Shell Manor Dr, Ruskin, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1184218695
- Provider Enumeration Date: 02/24/2021
- Last Update Date: 07/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789093964
- Enrollment ID: I20210430000074
Medical Identifiers
Medical identifiers for Dr Craig Jorden Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184218695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 11011653 (Florida) | Secondary |
| 3104A0625X | Assisted Living Facility - Assisted Living, Mental Illness | 11011653 (Florida) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | 11011653 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | 11011653 (Florida) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 11011653 (Florida) | Secondary |
| 364SP0812X | Clinical Nurse Specialist - Psychiatric/mental Health, Community | 11011653 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11011653 (Florida) | 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. Dr Craig Jorden Jr allows following entities to bill medicare on his behalf.
| Entity Name | Hni Medical Services Of Florida, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679048284
PECOS PAC ID: 7517202112
Enrollment ID: O20190102000426 |
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| Entity Name | Recovery From Society Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346991643
PECOS PAC ID: 9638566771
Enrollment ID: O20220420001288 |
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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. Dr Craig Jorden Jr 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 |
|---|
Dr Craig Jorden Jr,
455 N Us Highway 41 Unit 1126,
Ruskin, FL 33575-5246
Ph: (813) 497-0497 | Dr Craig Jorden Jr,
312 Shell Manor Dr,
Ruskin, FL 33570-5005
Ph: (813) 497-0497 |
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