Jordan Davidson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Royal, Arkansas. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Beyond Wellness Llc and her current practice location is
581 Nomoe Rd, Royal, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 385-7280.
Jordan Davidson is licensed to practice in Arkansas (license number 216997) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255006722.
Provider's Profile
| Full Name | Jordan Davidson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 581 Nomoe Rd, Royal, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jordan Davidson graduated from nursing school in 2021
NPI Data:
- NPI Number: 1255006722
- Provider Enumeration Date: 08/16/2021
- Last Update Date: 08/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 4183001977
- Enrollment ID: I20220517001492
Medical Identifiers
Medical identifiers for Jordan Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255006722 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 216997 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Beyond Wellness Llc | 7517329584 | 2 |
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 Davidson allows following entities to bill medicare on her behalf.
| Entity Name | Infinity Health Of Arkansas Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508531146
PECOS PAC ID: 0042616195
Enrollment ID: O20210915001036 |
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| Entity Name | Beyond Wellness Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962101402
PECOS PAC ID: 7517329584
Enrollment ID: O20230808004290 |
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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 Davidson 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 Davidson, FNP-C
581 Nomoe Rd,
Royal, AR 71968-9752
Ph: (501) 385-7280 | Jordan Davidson, FNP-C
581 Nomoe Rd,
Royal, AR 71968-9752
Ph: (501) 385-7280 |
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