Jonathan Maxwell, DNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in La Crosse, Florida. His current practice location is
5619 Nw 202nd Pl, La Crosse, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 418-0545.
Jonathan Maxwell is licensed to practice in Florida (license number APRN11029322) 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 1942061189.
Provider's Profile
| Full Name | Jonathan Maxwell |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 5619 Nw 202nd Pl, La Crosse, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942061189
- Provider Enumeration Date: 01/16/2024
- Last Update Date: 01/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 0446798656
- Enrollment ID: I20240820000942
Medical Identifiers
Medical identifiers for Jonathan Maxwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942061189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11029322 (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. Jonathan Maxwell allows following entities to bill medicare on his behalf.
| Entity Name | Meridian Behavioral Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134287154
PECOS PAC ID: 7517977812
Enrollment ID: O20060502000237 |
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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. Jonathan Maxwell 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 |
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Jonathan Maxwell, DNP
Po Box 312,
La Crosse, FL 32658-0312
Ph: (386) 418-0545 | Jonathan Maxwell, DNP
5619 Nw 202nd Pl,
La Crosse, FL 32658
Ph: (386) 418-0545 |
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