Lori Jordan Back, FNP-C - Medicare Nurse Practitioner in St Petersburg, FL

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Lori Jordan Back, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in St Petersburg, Florida. Her current practice location is 5880 49th St N Unit N-201, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 300-0405.

Lori Jordan Back is licensed to practice in Florida (license number 11031278) 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 1639934102.

Contact Information

Lori Jordan Back, FNP-C
5880 49th St N Unit N-201,
St Petersburg, FL 33709-2150
(727) 300-0405
Not Available

Map and Direction




Provider's Profile

Full NameLori Jordan Back
GenderFemale
SpecialityNurse Practitioner - Family
Location5880 49th St N Unit N-201, St Petersburg, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639934102
  • Provider Enumeration Date: 02/14/2024
  • Last Update Date: 02/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3072951789
  • Enrollment ID: I20240401001286

Medical Identifiers

Medical identifiers for Lori Jordan Back such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639934102NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 11031278 (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. Lori Jordan Back allows following entities to bill medicare on her behalf.
Entity NameHeal Precisely Of Northside Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093433674
PECOS PAC ID: 9537544853
Enrollment ID: O20220922000091
Entity NameSaberi Advanced Wound Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578264818
PECOS PAC ID: 1052778479
Enrollment ID: O20230531000061
Entity NameHeal Precisely Of Tampa Bay Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588348262
PECOS PAC ID: 5698139327
Enrollment ID: O20230914001111

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 Jordan Back 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
Lori Jordan Back, FNP-C
5880 49th St N # N-201,
St Petersburg, FL 33709-2150

Ph: (727) 213-6744		Lori Jordan Back, FNP-C
5880 49th St N Unit N-201,
St Petersburg, FL 33709-2150

Ph: (727) 300-0405

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.