Kalyn W Jordan, APRN in Jacksonville, FL - Medicare Nurse Practitioner

Kalyn W Jordan, APRN is a medicare enrolled "Nurse Practitioner" in Jacksonville, Florida. Her current practice location is 915 W Monroe St Ste 300, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 903-4345.

Kalyn W Jordan is licensed to practice in Florida (license number APRN11024164) 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 1285331363.

Contact Information

	Kalyn W Jordan, APRN
	915 W Monroe St Ste 300, Jacksonville, FL 32204-1177
	(904) 903-4345
	Not Available

Map and Direction

Provider's Profile

Full Name	Kalyn W Jordan
Gender	Female
Speciality	Nurse Practitioner
Location	915 W Monroe St Ste 300, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285331363
Provider Enumeration Date: 02/09/2023
Last Update Date: 08/09/2024

Medicare PECOS Information:

PECOS PAC ID: 3870968019
Enrollment ID: I20230331001342

Medical Identifiers

Medical identifiers for Kalyn W Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285331363	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APRN11024164 (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. Kalyn W Jordan allows following entities to bill medicare on her behalf.

Entity Name	Skin And Cancer Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427017292 PECOS PAC ID: 1759284847 Enrollment ID: O20040128000060

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. Kalyn W Jordan 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
Kalyn W Jordan, APRN 430 5th St N, Jacksonville Beach, FL 32250-5628 Ph: (863) 701-4034	Kalyn W Jordan, APRN 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 Ph: (904) 903-4345

Reviews and Comments

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Kalyn W Jordan, APRN - Medicare Nurse Practitioner in Jacksonville, FL