Lori K Jardine, PMHNP-BC in Saint George, UT - Medicare Nurse Practitioner

Lori K Jardine, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Saint George, Utah. Her current practice location is 1664 S Dixie Dr Ste E102, Saint George, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 703-9647.

Lori K Jardine is licensed to practice in Utah (license number 9645160-4405) 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 1861183022.

Contact Information

	Lori K Jardine, PMHNP-BC
	1664 S Dixie Dr Ste E102, Saint George, UT 84770-7329
	(435) 703-9647
	(435) 703-6003

Map and Direction

Provider's Profile

Full Name	Lori K Jardine
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1664 S Dixie Dr Ste E102, Saint George, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861183022
Provider Enumeration Date: 05/18/2023
Last Update Date: 10/31/2023

Medicare PECOS Information:

PECOS PAC ID: 2769839554
Enrollment ID: I20231116000935

Medical Identifiers

Medical identifiers for Lori K Jardine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861183022	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	9645160-4405 (Utah)	Primary
163W00000X	Registered Nurse	9645160-3102 (Utah)	Secondary

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. Lori K Jardine allows following entities to bill medicare on her behalf.

Entity Name	Deborah A Christensen Phd & Associates, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891955936 PECOS PAC ID: 6901891498 Enrollment ID: O20040415000323

Entity Name	Alberto Souza Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972141588 PECOS PAC ID: 1254766371 Enrollment ID: O20200120000856

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. Lori K Jardine 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
Lori K Jardine, PMHNP-BC 1664 S Dixie Dr Ste E102, Saint George, UT 84770-7329 Ph: (435) 703-9647	Lori K Jardine, PMHNP-BC 1664 S Dixie Dr Ste E102, Saint George, UT 84770-7329 Ph: (435) 703-9647

Reviews and Comments

Nurse Practitioner Nurses in Saint George, UT

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Russell L Rohr, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1380 E Medical Center Dr, Saint George, UT 84790 Phone: 435-251-1600 Fax: 435-251-1610
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Cameron Debuck, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 437 S Bluff St Ste 302, Saint George, UT 84770 Phone: 435-634-8488
Christopher George Lamb, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 640 E 700 S Ste 105, Saint George, UT 84770 Phone: 435-688-7770 Fax: 435-688-8122
Maranda Ann Nelson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 652 S Medical Center Dr Ste 420, Saint George, UT 84790 Phone: 435-251-6800
Raquel Wall, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1490 E Foremaster Dr Ste 320, Saint George, UT 84790 Phone: 435-359-3115 Fax: 435-319-7123

Lori K Jardine, PMHNP-BC - Medicare Nurse Practitioner in Saint George, UT