Miss Jill Elise Kordas, LPN is a medicare enrolled "Nurse Practitioner - Family" in Southwick, Massachusetts. Her current practice location is
50 Pineywood Rd, Southwick, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(413) 237-9859.
Miss Jill Elise Kordas is licensed to practice in Massachusetts (license number RN2316572) 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 1235447715.
Provider's Profile
Full Name | Miss Jill Elise Kordas |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 50 Pineywood Rd, Southwick, Massachusetts |
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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: 1235447715
- Provider Enumeration Date: 09/19/2010
- Last Update Date: 09/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 2860937166
- Enrollment ID: I20240711000278
Medical Identifiers
Medical identifiers for Miss Jill Elise Kordas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235447715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | RN2316572 (Massachusetts) | Primary |
164W00000X | Licensed Practical Nurse | 62698 (Massachusetts) | Secondary |
164W00000X | Licensed Practical Nurse | 034528 (Connecticut) | 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. Miss Jill Elise Kordas allows following entities to bill medicare on her behalf.
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200204002341 |
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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. Miss Jill Elise Kordas 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 |
Miss Jill Elise Kordas, LPN Po Box 82, Southwick, MA 01077-0082 Ph: (413) 237-9859 | Miss Jill Elise Kordas, LPN 50 Pineywood Rd, Southwick, MA 01077-9359 Ph: (413) 237-9859 |
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