Mrs Jordan H Ide, MSN, FNP-BC, ANCC in Lebanon, NH

Mrs Jordan H Ide, MSN, FNP-BC, ANCC is a medicare enrolled "Nurse Practitioner - Family" in Lebanon, New Hampshire. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Clearchoicemd, Pllc, Speare Health Ventures Inc and her current practice location is 410 Miracle Mile, Lebanon, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 520-7431.

Mrs Jordan H Ide is licensed to practice in New Hampshire (license number 071684-23) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1821618042.

Contact Information

	Mrs Jordan H Ide, MSN, FNP-BC, ANCC
	410 Miracle Mile, Lebanon, NH 03766-2639
	(603) 520-7431
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jordan H Ide
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	410 Miracle Mile, Lebanon, New Hampshire
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Jordan H Ide graduated from nursing school in 2020

NPI Data:

NPI Number: 1821618042
Provider Enumeration Date: 04/17/2020
Last Update Date: 12/29/2022

Medicare PECOS Information:

PECOS PAC ID: 5395162598
Enrollment ID: I20200902002714

Medical Identifiers

Medical identifiers for Mrs Jordan H Ide such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821618042	NPI	-	NPPES
071684-23	Other	NH	STATE OF NH BOARD OF NURSING
101.0134678	Other	VT	STATE OF VT BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	101.0134678 (Vermont)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(New Hampshire)	Secondary
363LF0000X	Nurse Practitioner - Family	071684-23 (New Hampshire)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Speare Memorial Hospital	Plymouth, NH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clearchoicemd, Pllc	1850510058	73
Speare Health Ventures Inc	4789901950	15

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. Mrs Jordan H Ide allows following entities to bill medicare on her behalf.

Entity Name	Speare Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346402047 PECOS PAC ID: 1153318068 Enrollment ID: O20040823001172

Entity Name	Clearchoicemd, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851722417 PECOS PAC ID: 1850510058 Enrollment ID: O20150826001645

Entity Name	Speare Health Ventures Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922532688 PECOS PAC ID: 4789901950 Enrollment ID: O20170905002247

Entity Name	Alliance Urgent Care Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093295792 PECOS PAC ID: 6305181215 Enrollment ID: O20190327001375

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. Mrs Jordan H Ide 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
Mrs Jordan H Ide, MSN, FNP-BC, ANCC 63 Emerald St, Pmb 130, Keene, NH 03431 Ph: (603) 520-7431	Mrs Jordan H Ide, MSN, FNP-BC, ANCC 410 Miracle Mile, Lebanon, NH 03766-2639 Ph: (603) 520-7431

Reviews and Comments

Nurse Practitioner Nurses in Lebanon, NH

Mrs. Janice M Brennan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Dhmc Department Of Occupation Medicine, Lebanon, NH 03756 Phone: 603-560-5000 Fax: 603-650-0787
Meredith Anne Stringer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000
Carol Williams-suich, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Alice Peck Day Dr, Lebanon, NH 03766 Phone: 603-448-3122 Fax: 603-448-7491
Cassandra M Godzik, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-7232
Deann Opal Mcnamara, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5922
Emily L Swann, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Dr, Lebanon, NH 03756 Phone: 603-650-6224
Molly P Keady, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-8622

Mrs Jordan H Ide, MSN, FNP-BC, ANCC - Medicare Nurse Practitioner in Lebanon, NH