Jordan Frederick, CRNP in Winfield, AL - Medicare Nurse Practitioner

Jordan Frederick, CRNP is a medicare enrolled "Nurse Practitioner" in Winfield, Alabama. Her current practice location is 125 Bob Lawrence Dr, Winfield, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 487-4535.

Jordan Frederick is licensed to practice in Alabama (license number 1155321) 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 1245913367.

Contact Information

	Jordan Frederick, CRNP
	125 Bob Lawrence Dr, Winfield, AL 35594-0019
	(205) 487-4535
	(205) 487-8827

Map and Direction

Provider's Profile

Full Name	Jordan Frederick
Gender	Female
Speciality	Nurse Practitioner
Location	125 Bob Lawrence Dr, Winfield, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245913367
Provider Enumeration Date: 08/08/2023
Last Update Date: 08/08/2023

Medicare PECOS Information:

PECOS PAC ID: 2567814528
Enrollment ID: I20240116002223

Medical Identifiers

Medical identifiers for Jordan Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245913367	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1155321 (Alabama)	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 Frederick allows following entities to bill medicare on her behalf.

Entity Name	Farouk A Raquib Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760531479 PECOS PAC ID: 4688864440 Enrollment ID: O20101104000149

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 Frederick 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
Jordan Frederick, CRNP Po Box 1140, Winfield, AL 35594-1140 Ph: (205) 487-4535	Jordan Frederick, CRNP 125 Bob Lawrence Dr, Winfield, AL 35594-0019 Ph: (205) 487-4535

Reviews and Comments

Nurse Practitioner Nurses in Winfield, AL

Sherri Anita Silas, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1530 Us Highway 43, Winfield, AL 35594 Phone: 205-487-7720 Fax: 205-487-7864
Mrs. Christy Romano, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 Bob Lawrence Drive, Winfield, AL 35594 Phone: 205-487-4535
Kerry S Clark, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Carraway Dr Ste B1, Winfield, AL 35594 Phone: 205-487-7888 Fax: 205-487-7892
Angela Dawkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1530 Us Highway 43, Winfield, AL 35594 Phone: 205-487-7000
Christopher Shariett, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1530 Us Highway 43, Winfield, AL 35594 Phone: 205-487-7000
Mrs. Alissa Anne Hood, C.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 644 Tahoe Rd, Winfield, AL 35594 Phone: 205-487-4224 Fax: 205-487-3077

Jordan Frederick, CRNP - Medicare Nurse Practitioner in Winfield, AL