Jordan Marie Donovan, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" in Cave Springs, Arkansas. Her current practice location is
1428 S Hampton Xing, Cave Springs, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(636) 541-9915.
Jordan Marie Donovan is licensed to practice in Arkansas (license number 215031) 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 1881279693.
Provider's Profile
| Full Name | Jordan Marie Donovan |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Gerontology |
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| Location | 1428 S Hampton Xing, Cave Springs, Arkansas |
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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: 1881279693
- Provider Enumeration Date: 03/12/2021
- Last Update Date: 05/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 3375949985
- Enrollment ID: I20210908000165
Medical Identifiers
Medical identifiers for Jordan Marie Donovan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881279693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LG0600X | Nurse Practitioner - Gerontology | 215031 (Arkansas) | Primary |
| 163WW0000X | Registered Nurse - Wound Care | R104095 (Arkansas) | Secondary |
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 Marie Donovan allows following entities to bill medicare on her behalf.
| Entity Name | Hill Medical Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447417605
PECOS PAC ID: 3971661018
Enrollment ID: O20110105000230 |
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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 Marie Donovan 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 Marie Donovan, APRN
1428 S Hampton Xing,
Cave Springs, AR 72718-5004
Ph: (636) 541-9915 | Jordan Marie Donovan, APRN
1428 S Hampton Xing,
Cave Springs, AR 72718-5004
Ph: (636) 541-9915 |
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