Jordan Loeffelholz, NNP is a medicare enrolled "Nurse Practitioner - Neonatal" physician in Fort Worth, Texas. Her current practice location is
1500 S Main St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 702-4788.
Jordan Loeffelholz is licensed to practice in Texas (license number AP1018008) 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 1518567395.
Physician's Profile
Full Name | Jordan Loeffelholz |
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Gender | Female |
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Speciality | Nurse Practitioner - Neonatal |
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Location | 1500 S Main St, Fort Worth, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518567395
- Provider Enumeration Date: 10/29/2020
- Last Update Date: 03/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 2264843135
- Enrollment ID: I20201125000141
Medical Identifiers
Medical identifiers for Jordan Loeffelholz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518567395 | NPI | - | NPPES |
1018008 | Other | TX | APRN LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 2080N0001X (Texas) | Secondary |
363LN0000X | Nurse Practitioner - Neonatal | AP1018008 (Texas) | 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 Loeffelholz allows following entities to bill medicare on her behalf.
Entity Name | Acclaim Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 |
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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 Loeffelholz 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 Loeffelholz, NNP 6809 Windwood Trl, Fort Worth, TX 76132-3042 Ph: (314) 780-6519 | Jordan Loeffelholz, NNP 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-4788 |
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