Jordan Johanson, in Zephyrhills, FL - Medicare Nurse Practitioner

Jordan Johanson, is a medicare enrolled "Nurse Practitioner - Family" in Zephyrhills, Florida. His current practice location is 38135 Market Square Dr, Zephyrhills, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 780-8440.

Jordan Johanson is licensed to practice in Florida (license number 11027082) 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 1487439212.

Contact Information

	Jordan Johanson,
	38135 Market Square Dr, Zephyrhills, FL 33542-7505
	(813) 780-8440
	Not Available

Map and Direction

Provider's Profile

Full Name	Jordan Johanson
Gender	Male
Speciality	Nurse Practitioner - Family
Location	38135 Market Square Dr, Zephyrhills, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487439212
Provider Enumeration Date: 08/29/2023
Last Update Date: 08/29/2023

Medicare PECOS Information:

PECOS PAC ID: 7012361090
Enrollment ID: I20230925002349

Medical Identifiers

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

Identifier	Type	State	Issuer
1487439212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11027082 (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. Jordan Johanson allows following entities to bill medicare on his behalf.

Entity Name	Florida Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821055690 PECOS PAC ID: 9931003068 Enrollment ID: O20031120000962

Entity Name	Ohi West Medical Group Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982381299 PECOS PAC ID: 0648631192 Enrollment ID: O20230731002130

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 Johanson 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 Johanson, 8319 Pine River Rd, Tampa, FL 33637-1011 Ph: () -	Jordan Johanson, 38135 Market Square Dr, Zephyrhills, FL 33542-7505 Ph: (813) 780-8440

Reviews and Comments

Nurse Practitioner Nurses in Zephyrhills, FL

Audrey Blendowski, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 38135 Market Sq, Zephyrhills, FL 33542 Phone: 813-788-8160 Fax: 813-355-5065
Zainab Savard, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38135 Market Square Dr, Zephyrhills, FL 33542 Phone: 813-782-2166
Cindy Phelps, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 38135 Market Square Dr, Zephyrhills, FL 33542 Phone: 813-733-4877 Fax: 813-355-5900
Miss Romainda Lubin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 38135 Market Sq, Zephyrhills, FL 33542 Phone: 813-780-1673
Mrs. Sara C Collins, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7050 Gall Blvd, Zephyrhills, FL 33541 Phone: 813-788-0411
Leonie Kelly-ann James, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6830 Gall Blvd, Zephyrhills, FL 33542 Phone: 813-783-3118 Fax: 813-355-5036
Melissa A Nihiser, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36763 Eiland Blvd Ste 102, Zephyrhills, FL 33542 Phone: 813-778-0454 Fax: 813-377-1699

Jordan Johanson, - Medicare Nurse Practitioner in Zephyrhills, FL