Jordan Ryan Lastra, APRN in Tampa, FL - Medicare Nurse Practitioner

Jordan Ryan Lastra, APRN is a medicare enrolled "Nurse Practitioner - Family" in Tampa, Florida. His current practice location is 2605 W Swann Ave Ste 600, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 876-7073.

Jordan Ryan Lastra is licensed to practice in Florida (license number 11022374) 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 1598481574.

Contact Information

	Jordan Ryan Lastra, APRN
	2605 W Swann Ave Ste 600, Tampa, FL 33609-4044
	(813) 876-7073
	Not Available

Map and Direction

Provider's Profile

Full Name	Jordan Ryan Lastra
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2605 W Swann Ave Ste 600, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598481574
Provider Enumeration Date: 10/12/2022
Last Update Date: 01/03/2023

Medicare PECOS Information:

PECOS PAC ID: 4284004227
Enrollment ID: I20230106002818

Medical Identifiers

Medical identifiers for Jordan Ryan Lastra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598481574	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11022374 (Florida)	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 Ryan Lastra allows following entities to bill medicare on his behalf.

Entity Name	Karon R Locicero Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326064890 PECOS PAC ID: 3678593357 Enrollment ID: O20051123000457

Entity Name	Locicero Hospital Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407392780 PECOS PAC ID: 7214204528 Enrollment ID: O20170517000060

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 Ryan Lastra 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 Ryan Lastra, APRN 2605 W Swann Ave Ste 600, Tampa, FL 33609-4044 Ph: (813) 876-7073	Jordan Ryan Lastra, APRN 2605 W Swann Ave Ste 600, Tampa, FL 33609-4044 Ph: (813) 876-7073

Reviews and Comments

Nurse Practitioner Nurses in Tampa, FL

Charmaine Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808
Ms. Bridget Shoulders-odom, MS, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Bld, Tampa, FL 33612 Phone: 813-972-2000
Ms. Rhea Arlene Hurwitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 W Martin Luther King Boulevard, Tampa, FL 33607 Phone: 813-554-8511
Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401
Crystal Elaine Blair, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000
Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631

Jordan Ryan Lastra, APRN - Medicare Nurse Practitioner in Tampa, FL