Clarissa Jordan Annan, CRNP in Gulf Shores, AL

Clarissa Jordan Annan, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Gulf Shores, Alabama. Her current practice location is 156 E 15th Ave, Gulf Shores, Alabama. You can reach out to her office (for appointments etc.) via phone at (251) 948-4290.

Clarissa Jordan Annan is licensed to practice in Alabama (license number 1-164543) 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 1043940687.

Contact Information

	Clarissa Jordan Annan, CRNP
	156 E 15th Ave, Gulf Shores, AL 36542-3516
	(251) 948-4290
	(251) 948-7682

Map and Direction

Provider's Profile

Full Name	Clarissa Jordan Annan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	156 E 15th Ave, Gulf Shores, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043940687
Provider Enumeration Date: 06/15/2022
Last Update Date: 06/15/2022

Medicare PECOS Information:

PECOS PAC ID: 8729448717
Enrollment ID: I20230724000109

Medical Identifiers

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

Identifier	Type	State	Issuer
1043940687	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-164543 (Alabama)	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. Clarissa Jordan Annan allows following entities to bill medicare on her behalf.

Entity Name	Eastern Shore Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376706275 PECOS PAC ID: 1951464775 Enrollment ID: O20090106000100

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. Clarissa Jordan Annan 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
Clarissa Jordan Annan, CRNP 1239 Lavender Ln, Foley, AL 36535-9565 Ph: (251) 747-0980	Clarissa Jordan Annan, CRNP 156 E 15th Ave, Gulf Shores, AL 36542-3516 Ph: (251) 948-4290

Reviews and Comments

Nurse Practitioner Nurses in Gulf Shores, AL

Erin Dewrell Prendergast, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W 2nd St, Gulf Shores, AL 36542 Phone: 251-967-4000 Fax: 251-967-2398
Mr. Jerry Wayne Barton Jr., NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 E 15th Ave, Gulf Shores, AL 36542 Phone: 251-962-1250 Fax: 251-967-7832
Lisa Ellen Field, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Office Park Dr, Gulf Shores, AL 36542 Phone: 251-968-7379 Fax: 251-968-5960
Anthony Houston Key, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 E 15th Ave, Gulf Shores, AL 36542 Phone: 251-962-1250 Fax: 251-967-7832
Rebecca Lee Branum Autrey, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 232 Office Park Dr, Gulf Shores, AL 36542 Phone: 251-968-2323 Fax: 251-968-2134
Maggie Mae Wallace, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Office Park Dr, Gulf Shores, AL 36542 Phone: 251-968-7379 Fax: 251-968-5960

Clarissa Jordan Annan, CRNP - Medicare Nurse Practitioner in Gulf Shores, AL