Jordan Roundtree, APRN, PMHNP - Medicare Nurse Practitioner in Lebanon, TN

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Jordan Roundtree, APRN, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lebanon, Tennessee. His current practice location is 142 Public Sq Ste E-104, Lebanon, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 288-4619.

Jordan Roundtree is licensed to practice in Tennessee (license number 34146) 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 1871286989.

Contact Information

Jordan Roundtree, APRN, PMHNP
142 Public Sq Ste E-104,
Lebanon, TN 37087-2871
(931) 288-4619
(931) 208-4063

Map and Direction




Provider's Profile

Full NameJordan Roundtree
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location142 Public Sq Ste E-104, Lebanon, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871286989
  • Provider Enumeration Date: 06/02/2023
  • Last Update Date: 06/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2466812862
  • Enrollment ID: I20230717003341

Medical Identifiers

Medical identifiers for Jordan Roundtree such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871286989NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 34146 (Tennessee)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 Roundtree allows following entities to bill medicare on his behalf.
Entity NameMental Health Cooperative, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083632897
PECOS PAC ID: 5496798399
Enrollment ID: O20050602000048
Entity NameNashville Brain Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942785159
PECOS PAC ID: 7214261304
Enrollment ID: O20190624001882
Entity NameRoundtree Mental Health Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376308635
PECOS PAC ID: 8628415817
Enrollment ID: O20240323000096

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 Roundtree 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 AddressPractice Location Address
Jordan Roundtree, APRN, PMHNP
142 Public Sq Ste E-104,
Lebanon, TN 37087-2871

Ph: (931) 288-4619		Jordan Roundtree, APRN, PMHNP
142 Public Sq Ste E-104,
Lebanon, TN 37087-2871

Ph: (931) 288-4619

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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