Ellen Verena Jorgensen, MD in Tampa, FL

Ellen Verena Jorgensen, MD is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in Tampa, Florida. Her current practice location is 12901 Bruce B Downs Blvd, Mdc 15, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 974-2583.

Ellen Verena Jorgensen is licensed to practice in Florida (license number ME54437) 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 1003826744.

Contact Information

	Ellen Verena Jorgensen, MD
	12901 Bruce B Downs Blvd, Mdc 15, Tampa, FL 33612-4742
	(813) 974-2583
	Not Available

Map and Direction

Physician's Profile

Full Name	Ellen Verena Jorgensen
Gender	Female
Speciality	Pediatrics - Pediatric Endocrinology
Location	12901 Bruce B Downs Blvd, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003826744
Provider Enumeration Date: 08/08/2006
Last Update Date: 01/04/2024

Medicare PECOS Information:

PECOS PAC ID: 2769557495
Enrollment ID: I20080814000712

Medical Identifiers

Medical identifiers for Ellen Verena Jorgensen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003826744	NPI	-	NPPES
035500300	Medicaid	FL
07816	Other	FL	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0205X	Pediatrics - Pediatric Endocrinology	ME54437 (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. Ellen Verena Jorgensen allows following entities to bill medicare on her behalf.

Entity Name	University Medical Service Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130

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. Ellen Verena Jorgensen 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
Ellen Verena Jorgensen, MD Po Box 917770, Orlando, FL 32891-0001 Ph: (813) 974-2201	Ellen Verena Jorgensen, MD 12901 Bruce B Downs Blvd, Mdc 15, Tampa, FL 33612-4742 Ph: (813) 974-2583

Reviews and Comments

Pediatrics Doctors in Tampa, FL

Tracy C Burton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir, 5th Floor, Tampa, FL 33606 Phone: 813-259-8752 Fax: 813-259-8749
Dr. Steven Lee Ford, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-974-2201 Fax: 813-974-2812
Donald F Pitisci, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2506 W Virginia Ave, Tampa, FL 33607 Phone: 813-870-3720 Fax: 813-877-0184
Dr. Carolyn Louise Marasco, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10330 N Dale Mabry Hwy, Ste 190, Tampa, FL 33618 Phone: 813-963-7788 Fax: 813-443-8149
Dr. Jonni H Klapper, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1202 E Palm Ave, School Health Services, Tampa, FL 33605 Phone: 813-273-7020 Fax: 813-273-7328
Dr. Raafat Ismail Hamzeh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8907 Regents Park Dr, Suite 330, Tampa, FL 33647 Phone: 813-907-0233 Fax: 813-907-0064

Ellen Verena Jorgensen, MD - Medicare Pediatrics in Tampa, FL