Jordan Gaudio, MD in Provo, UT - Medicare Pediatrics

Jordan Gaudio, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Provo, Utah. Her current practice location is 1034 N 500 W, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 357-1700.

Jordan Gaudio is licensed to practice in Utah (license number 13384855-1205) 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 1063946325.

Contact Information

	Jordan Gaudio, MD
	1034 N 500 W, Provo, UT 84604-3380
	(801) 357-1700
	Not Available

Map and Direction

Physician's Profile

Full Name	Jordan Gaudio
Gender	Female
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	1034 N 500 W, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063946325
Provider Enumeration Date: 04/13/2017
Last Update Date: 02/08/2024

Medicare PECOS Information:

PECOS PAC ID: 5395199939
Enrollment ID: I20230929002484

Medical Identifiers

Medical identifiers for Jordan Gaudio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063946325	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD048368 (District Of Columbia)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	13384855-1205 (Utah)	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 Gaudio allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

Entity Name	University Of Utah Pediatric Acuity Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619325131 PECOS PAC ID: 6406148345 Enrollment ID: O20160713000869

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 Gaudio 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
Jordan Gaudio, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () -	Jordan Gaudio, MD 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-1700

Reviews and Comments

Pediatrics Doctors in Provo, UT

Dr. Renae Holland, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1300 E Center St, Utah State Hospital, Provo, UT 84606 Phone: 801-344-4311 Fax: 801-344-4225
Dr. Joshua Darrell Fuller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1675 N Freedom Blvd Ste 3, Provo, UT 84604 Phone: 801-377-8000
Danielle Elise Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8411
Dr. Chuanchau Jerry Jou, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 311, Provo, UT 84604 Phone: 385-477-6800 Fax: 385-477-6801
Leslie Mark Lang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7707
Bradley Wayne Anderson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1355 N University Ave, #210, Provo, UT 84604 Phone: 801-373-8930 Fax: 801-377-6811

Jordan Gaudio, MD - Medicare Pediatrics in Provo, UT