Jordan E Lizotte I, R-NP is a medicare enrolled "Nurse Practitioner - Family" physician in Johnston, Rhode Island. Her current practice location is
1524 Atwood Ave Ste 220, Johnston, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 273-9400.
Jordan E Lizotte I is licensed to practice in Rhode Island (license number APRN03400) 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 1265170492.
Physician's Profile
| Full Name | Jordan E Lizotte I |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1524 Atwood Ave Ste 220, Johnston, Rhode Island |
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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: 1265170492
- Provider Enumeration Date: 05/26/2022
- Last Update Date: 07/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052782547
- Enrollment ID: I20230119002940
Medical Identifiers
Medical identifiers for Jordan E Lizotte I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265170492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 2329839 (Massachusetts) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN03400 (Rhode Island) | 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. Jordan E Lizotte I allows following entities to bill medicare on her behalf.
| Entity Name | Atmed Primary Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750410361
PECOS PAC ID: 5294789392
Enrollment ID: O20050311000149 |
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| Entity Name | Atwood Medical Associates Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558386227
PECOS PAC ID: 0941106652
Enrollment ID: O20070910000495 |
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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. Jordan E Lizotte I 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 |
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Jordan E Lizotte I, R-NP
1524 Atwood Ave, Ste 220,
Johnston, RI 02919
Ph: (401) 272-1900 | Jordan E Lizotte I, R-NP
1524 Atwood Ave Ste 220,
Johnston, RI 02919
Ph: (401) 273-9400 |
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