Jordan Rochelle Poruban, is a medicare enrolled "Nurse Practitioner" in Portage, Pennsylvania. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vantage Physical Therapy And Rehabilitation Inc, Windber Hospital Inc and her current practice location is
223 Lee St, Portage, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 418-7399.
Jordan Rochelle Poruban is licensed to practice in Pennsylvania (license number SP023570) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750965034.
Provider's Profile
Full Name | Jordan Rochelle Poruban |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 4 Years |
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Location | 223 Lee St, Portage, Pennsylvania |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jordan Rochelle Poruban graduated from nursing school in 2020
NPI Data:
- NPI Number: 1750965034
- Provider Enumeration Date: 05/12/2021
- Last Update Date: 11/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 6406244961
- Enrollment ID: I20211102003071
Medical Identifiers
Medical identifiers for Jordan Rochelle Poruban such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750965034 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | SP023570 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Vantage Physical Therapy And Rehabilitation Inc | 3072424886 | 145 |
Windber Hospital Inc | 9234187576 | 23 |
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 Rochelle Poruban allows following entities to bill medicare on her behalf.
Entity Name | Upmc Altoona Regional Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396724217 PECOS PAC ID: 5395659312 Enrollment ID: O20040312000257 |
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Entity Name | Windber Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376543942 PECOS PAC ID: 9234187576 Enrollment ID: O20071220000272 |
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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 Rochelle Poruban 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 Rochelle Poruban, 223 Lee St, Portage, PA 15946-1114 Ph: (814) 418-7399 | Jordan Rochelle Poruban, 223 Lee St, Portage, PA 15946-1114 Ph: (814) 418-7399 |
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