Jordan Micah Phelps, DO - Medicare Family Medicine in Jacksonville, FL

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Jordan Micah Phelps, DO is a medicare enrolled "Family Medicine" physician in Jacksonville, Florida. His current practice location is 14011 Beach Blvd Ste 120, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 223-6400.

Jordan Micah Phelps is licensed to practice in Florida (license number OS19877) 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 1861952376.

Contact Information

Jordan Micah Phelps, DO
14011 Beach Blvd Ste 120,
Jacksonville, FL 32250-1695
(904) 223-6400
(833) 578-1820

Map and Direction




Physician's Profile

Full NameJordan Micah Phelps
GenderMale
SpecialityFamily Medicine
Location14011 Beach Blvd Ste 120, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861952376
  • Provider Enumeration Date: 03/21/2019
  • Last Update Date: 05/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2860720133
  • Enrollment ID: I20230628003081

Medical Identifiers

Medical identifiers for Jordan Micah Phelps such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861952376NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS19877 (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. Jordan Micah Phelps allows following entities to bill medicare on his behalf.
Entity NamePhysicians Group Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861440810
PECOS PAC ID: 1254238579
Enrollment ID: O20031216000099

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 Micah Phelps 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 AddressPractice Location Address
Jordan Micah Phelps, DO
705 Wells Rd Ste 300,
Orange Park, FL 32073-2982

Ph: (904) 282-6331		Jordan Micah Phelps, DO
14011 Beach Blvd Ste 120,
Jacksonville, FL 32250-1695

Ph: (904) 223-6400

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.