Jordan Michael Swanberg, in Springfield, IL - Medicare Nurse Anesthetist, Certified Registered

Jordan Michael Swanberg, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Springfield, Illinois. His current practice location is 701 N 1st St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 788-3000.

Jordan Michael Swanberg is licensed to practice in Illinois (license number 209025663) 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 1508599754.

Contact Information

	Jordan Michael Swanberg,
	701 N 1st St, Springfield, IL 62781-0001
	(217) 788-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jordan Michael Swanberg
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	701 N 1st St, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508599754
Provider Enumeration Date: 07/06/2022
Last Update Date: 08/10/2022

Medicare PECOS Information:

PECOS PAC ID: 6204210446
Enrollment ID: I20220907001676

Medical Identifiers

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

Identifier	Type	State	Issuer
1508599754	NPI	-	NPPES
041444153	Other	IL	RN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209025663 (Illinois)	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 Michael Swanberg allows following entities to bill medicare on his behalf.

Entity Name	Memorial Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255393112 PECOS PAC ID: 7315835949 Enrollment ID: O20040713000579

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 Michael Swanberg 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 Michael Swanberg, Po Box 3428, Springfield, IL 62708-3428 Ph: (217) 588-2624	Jordan Michael Swanberg, 701 N 1st St, Springfield, IL 62781-0001 Ph: (217) 788-3000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Springfield, IL

Douglas Mcdonald Childs, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62704 Phone: 217-525-5643 Fax: 217-544-2521
Carol A Gorden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071
Ann R Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Anesthesia Department, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071
Jenna Younker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62702 Phone: 217-525-5643 Fax: 217-544-2521
Kelsey A Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000
Delores A Gallo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541
Larry D. Sartore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 East Carpenter Street, Room 2k64, Springfield, IL 62769 Phone: 217-525-5643 Fax: 217-544-3311

Jordan Michael Swanberg, - Medicare Nurse Anesthetist, Certified Registered in Springfield, IL