Jordan Ryann Musgrave, APRN is a medicare enrolled "Nurse Practitioner - Family" in Eden, Utah. Her current practice location is
4756 Creekview Dr, Eden, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 529-3910.
Jordan Ryann Musgrave is licensed to practice in Utah (license number 6951939-4405) 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 1588395982.
Provider's Profile
Full Name | Jordan Ryann Musgrave |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 4756 Creekview Dr, Eden, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588395982
- Provider Enumeration Date: 06/17/2022
- Last Update Date: 07/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 2668853821
- Enrollment ID: I20220719002124
Medical Identifiers
Medical identifiers for Jordan Ryann Musgrave such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588395982 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 6951939-4405 (Utah) | 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 Ryann Musgrave allows following entities to bill medicare on her behalf.
Entity Name | Connected Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245709807 PECOS PAC ID: 1658618269 Enrollment ID: O20190121000441 |
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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 Ryann Musgrave 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 Ryann Musgrave, APRN 4756 Creekview Dr, Eden, UT 84310-9742 Ph: (801) 529-3910 | Jordan Ryann Musgrave, APRN 4756 Creekview Dr, Eden, UT 84310-9742 Ph: (801) 529-3910 |
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