Mrs Jordan Michalea Farewell, is a medicare enrolled "Nurse Practitioner" in Rocky Point, North Carolina. Her current practice location is
7910 Us Hwy 117 S Unit 120, Rocky Point, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 300-4500.
Mrs Jordan Michalea Farewell is licensed to practice in North Carolina (license number 5018925) 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 1255117719.
Provider's Profile
Full Name | Mrs Jordan Michalea Farewell |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 7910 Us Hwy 117 S Unit 120, Rocky Point, North Carolina |
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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: 1255117719
- Provider Enumeration Date: 08/31/2023
- Last Update Date: 11/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961845813
- Enrollment ID: I20240207002024
Medical Identifiers
Medical identifiers for Mrs Jordan Michalea Farewell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255117719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | FARE-3C9AF (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 5018925 (North Carolina) | 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. Mrs Jordan Michalea Farewell allows following entities to bill medicare on her behalf.
Entity Name | Novant Health Medical Group Coastal Region Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649865791 PECOS PAC ID: 2860809936 Enrollment ID: O20210408000285 |
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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. Mrs Jordan Michalea Farewell 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 |
Mrs Jordan Michalea Farewell, Po Box 936857, Atlanta, GA 31193-6857 Ph: (910) 300-4500 | Mrs Jordan Michalea Farewell, 7910 Us Hwy 117 S Unit 120, Rocky Point, NC 28457-7409 Ph: (910) 300-4500 |
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