Jordan Boss, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Millbury, Ohio. Her current practice location is
23251 W Moline Martin Rd, Millbury, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 265-1813.
Jordan Boss is licensed to practice in Ohio (license number 143781) 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 1841929569.
Provider's Profile
| Full Name | Jordan Boss |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 23251 W Moline Martin Rd, Millbury, Ohio |
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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: 1841929569
- Provider Enumeration Date: 06/08/2022
- Last Update Date: 08/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 4789052762
- Enrollment ID: I20221122003545
Medical Identifiers
Medical identifiers for Jordan Boss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841929569 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 432068 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0020600 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 143781 (Ohio) | 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 Boss allows following entities to bill medicare on her behalf.
| Entity Name | Promedica Central Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043270150
PECOS PAC ID: 2365348190
Enrollment ID: O20031211000226 |
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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. Jordan Boss 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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Jordan Boss,
23251 W Moline Martin Rd,
Millbury, OH 43447-9522
Ph: (419) 265-1813 | Jordan Boss,
23251 W Moline Martin Rd,
Millbury, OH 43447-9522
Ph: (419) 265-1813 |
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