Jordan N Knickerbocker, NP in Grand Junction, CO

Jordan N Knickerbocker, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Grand Junction, Colorado. Her current practice location is 3150 N 12th St, Grand Junction, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 254-2642.

Jordan N Knickerbocker is licensed to practice in Colorado (license number PENDING) 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 1811676786.

Contact Information

	Jordan N Knickerbocker, NP
	3150 N 12th St, Grand Junction, CO 81506-2863
	(970) 254-2642
	Not Available

Map and Direction

Provider's Profile

Full Name	Jordan N Knickerbocker
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	3150 N 12th St, Grand Junction, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811676786
Provider Enumeration Date: 07/17/2023
Last Update Date: 10/16/2024

Medicare PECOS Information:

PECOS PAC ID: 0648625376
Enrollment ID: I20231016001435

Medical Identifiers

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

Identifier	Type	State	Issuer
1811676786	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	PENDING (Colorado)	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 N Knickerbocker allows following entities to bill medicare on her behalf.

Entity Name	Primary Care Partners Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245392612 PECOS PAC ID: 7810893161 Enrollment ID: O20031209000400

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 N Knickerbocker 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 N Knickerbocker, NP Po Box 10700, Grand Junction, CO 81502-5517 Ph: (970) 254-2642	Jordan N Knickerbocker, NP 3150 N 12th St, Grand Junction, CO 81506-2863 Ph: (970) 254-2642

Reviews and Comments

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Jordan N Knickerbocker, NP - Medicare Nurse Practitioner in Grand Junction, CO