Mr Jeffrey Ludan Vongjesda, MS, ARNP, NP-C - Medicare Nurse Practitioner in Fleming Island, FL

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Mr Jeffrey Ludan Vongjesda, MS, ARNP, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Fleming Island, Florida. His current practice location is 4565 Us Highway 17 Ste 106, Fleming Island, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 269-4559.

Mr Jeffrey Ludan Vongjesda is licensed to practice in Florida (license number ARNP9278630) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003286824.

Contact Information

Mr Jeffrey Ludan Vongjesda, MS, ARNP, NP-C
4565 Us Highway 17 Ste 106,
Fleming Island, FL 32003-4822
(904) 269-4559
(904) 269-4597

Map and Direction




Provider's Profile

Full NameMr Jeffrey Ludan Vongjesda
GenderMale
SpecialityNurse Practitioner - Family
Location4565 Us Highway 17 Ste 106, Fleming Island, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003286824
  • Provider Enumeration Date: 10/06/2015
  • Last Update Date: 05/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6901199645
  • Enrollment ID: I20170223001539

Medical Identifiers

Medical identifiers for Mr Jeffrey Ludan Vongjesda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003286824NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 60962308 (Washington)Secondary
363LP2300XNurse Practitioner - Primary Care APRN9278630 (Florida)Secondary
363LF0000XNurse Practitioner - Family ARNP9278630 (Florida)Primary
363LF0000XNurse Practitioner - Family 95007934 (California)Secondary
363LF0000XNurse Practitioner - Family 817161 (Nevada)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. Mr Jeffrey Ludan Vongjesda allows following entities to bill medicare on his behalf.
Entity NameFamily Care Partners Of Northeast Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750323143
PECOS PAC ID: 7214832245
Enrollment ID: O20031203000590
Entity NameBeach Medical Specialist, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720125479
PECOS PAC ID: 5193897296
Enrollment ID: O20080707000588

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. Mr Jeffrey Ludan Vongjesda 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
Mr Jeffrey Ludan Vongjesda, MS, ARNP, NP-C
425 W Colonial Dr Ste 303,
Orlando, FL 32804-6863

Ph: (904) 745-3618		Mr Jeffrey Ludan Vongjesda, MS, ARNP, NP-C
4565 Us Highway 17 Ste 106,
Fleming Island, FL 32003-4822

Ph: (904) 269-4559

Reviews and Comments


Nurse Practitioner Nurses in Fleming Island, FL

Dian S Trent, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1747 Baptist Clay Rd, Suite 340, Fleming Island, FL 32003
Phone: 904-264-1204    Fax: 904-264-1227
Mrs. Kimberly Simon, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2310 Village Square Pkwy Ste 202, Fleming Island, FL 32003
Phone: 904-516-1880    Fax: 904-516-1885
Vanessa Brown, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1766 Long Slough Walk, Fleming Island, FL 32003
Phone: 904-400-4315    
Brenda Garcia, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2200 Marsh Hawk Ln Unit 101, Fleming Island, FL 32003
Phone: 786-426-7972    
Saphina Williams, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4689 Us Highway 17 Ste 2-5, Fleming Island, FL 32003
Phone: 904-269-6526    Fax: 904-269-6527
Mr. Scott Alan Shirley, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2349 Village Square Pkwy Ste 112, Fleming Island, FL 32003
Phone: 904-886-9686    Fax: 904-253-6964

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.