Jonathan Edward Caudle, FNP-C in Tupelo, MS - Medicare Nurse Practitioner

Jonathan Edward Caudle, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Tupelo, Mississippi. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ahtna T' Aene Nene' and his current practice location is 830 S Gloster St, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 377-3000.

Jonathan Edward Caudle is licensed to practice in Mississippi (license number 902847) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437658960.

Contact Information

	Jonathan Edward Caudle, FNP-C
	830 S Gloster St, Tupelo, MS 38801
	(662) 377-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jonathan Edward Caudle
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	830 S Gloster St, Tupelo, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jonathan Edward Caudle graduated from nursing school in 2017

NPI Data:

NPI Number: 1437658960
Provider Enumeration Date: 02/10/2018
Last Update Date: 11/28/2018

Medicare PECOS Information:

PECOS PAC ID: 5395080485
Enrollment ID: I20230906002801

Medical Identifiers

Medical identifiers for Jonathan Edward Caudle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437658960	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN.0993670-NP (Colorado)	Secondary
363LF0000X	Nurse Practitioner - Family	902847 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ahtna T' Aene Nene'	3072404607	9

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. Jonathan Edward Caudle allows following entities to bill medicare on his behalf.

Entity Name	Southeast Alaska Regional Health Consortium
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376758037 PECOS PAC ID: 1456265362 Enrollment ID: O20031114000631

Entity Name	Ahtna T' Aene Nene'
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164745691 PECOS PAC ID: 3072404607 Enrollment ID: O20151228000597

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. Jonathan Edward Caudle 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
Jonathan Edward Caudle, FNP-C 830 S Gloster St, Tupelo, MS 38801-4996 Ph: (662) 377-3000	Jonathan Edward Caudle, FNP-C 830 S Gloster St, Tupelo, MS 38801 Ph: (662) 377-3000

Reviews and Comments

Nurse Practitioner Nurses in Tupelo, MS

Nicole Sherice Taylor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 845 South Gloster Street, Tupelo, MS 38801 Phone: 662-377-5930
Mrs. Rebecca Perry Ward, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4381 South Eason Blvd, Longtown Medical Park, Tupelo, MS 38801 Phone: 662-377-7354 Fax: 662-377-5301
Ms. Wanda Ikeda, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801 Phone: 662-620-6800 Fax: 662-377-2403
Mrs. Tina King, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1573 Medical Park Cir, Tupelo, MS 38801 Phone: 662-844-9885 Fax: 662-842-1350
Anna Danielle Woodruff, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 499 Gloster Creek Vlg Ste H3, Tupelo, MS 38801 Phone: 662-840-6026 Fax: 662-840-6030
Jennifer L Taylor, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 205-412-0585
Kalisa Mickell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-3000

Jonathan Edward Caudle, FNP-C - Medicare Nurse Practitioner in Tupelo, MS