Mrs Mary-jane T Jordan, ARNP in Clearwater, FL

Mrs Mary-jane T Jordan, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Clearwater, Florida. Her current practice location is 24945 Us Highway 19 N, Clearwater, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 726-1460.

Mrs Mary-jane T Jordan is licensed to practice in Florida (license number 11003976) 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 1114576006.

Contact Information

	Mrs Mary-jane T Jordan, ARNP
	24945 Us Highway 19 N, Clearwater, FL 33763-3927
	(727) 726-1460
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mary-jane T Jordan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	24945 Us Highway 19 N, Clearwater, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114576006
Provider Enumeration Date: 09/04/2019
Last Update Date: 04/27/2023

Medicare PECOS Information:

PECOS PAC ID: 5991115719
Enrollment ID: I20201106001490

Medical Identifiers

Medical identifiers for Mrs Mary-jane T Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114576006	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WE0003X	Registered Nurse - Emergency	9300765 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	11003976 (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. Mrs Mary-jane T Jordan allows following entities to bill medicare on her behalf.

Entity Name	Total Vitality Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376583609 PECOS PAC ID: 6103887195 Enrollment ID: O20041108000230

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 Mary-jane T Jordan 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 Mary-jane T Jordan, ARNP 24945 Us Highway 19 N, Clearwater, FL 33763-3927 Ph: (727) 726-1460	Mrs Mary-jane T Jordan, ARNP 24945 Us Highway 19 N, Clearwater, FL 33763-3927 Ph: (727) 726-1460

Reviews and Comments

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Mrs Mary-jane T Jordan, ARNP - Medicare Nurse Practitioner in Clearwater, FL