Teresa Lynne Jodway, CPNP in Granger, IN - Medicare Nurse Practitioner

Teresa Lynne Jodway, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Granger, Indiana. Her current practice location is 209 Florence Ave, Granger, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 246-1000.

Teresa Lynne Jodway is licensed to practice in Indiana (license number 71000447A) 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 1780758474.

Contact Information

	Teresa Lynne Jodway, CPNP
	209 Florence Ave, Granger, IN 46530-8048
	(574) 246-1000
	(574) 246-4000

Map and Direction

Provider's Profile

Full Name	Teresa Lynne Jodway
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	209 Florence Ave, Granger, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780758474
Provider Enumeration Date: 11/17/2006
Last Update Date: 04/08/2015

Medicare PECOS Information:

PECOS PAC ID: 6800080797
Enrollment ID: I20101104001044

Medical Identifiers

Medical identifiers for Teresa Lynne Jodway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780758474	NPI	-	NPPES
28103938A	Other	IN	RN LICENSE
200204520	Medicaid	IN
71000447A	Other	IN	NP LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71000447A (Indiana)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	71000447A (Indiana)	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. Teresa Lynne Jodway allows following entities to bill medicare on her behalf.

Entity Name	Ear, Nose And Throat Of Michiana P.c..
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295726198 PECOS PAC ID: 9638191646 Enrollment ID: O20051219000671

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. Teresa Lynne Jodway 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
Teresa Lynne Jodway, CPNP 11983 Jefferson Blvd, Mishawaka, IN 46545-7817 Ph: (574) 259-6836	Teresa Lynne Jodway, CPNP 209 Florence Ave, Granger, IN 46530-8048 Ph: (574) 246-1000

Reviews and Comments

Nurse Practitioner Nurses in Granger, IN

Megan Vermilyer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500
Rebecca L Allen-legault, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6910 N Main St Unit 52, Granger, IN 46530 Phone: 574-231-6766 Fax: 833-249-2411
Dr. Sara Golden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500
Mrs. Tamara L Riess, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1550 Fax: 574-243-4306
Emily Peak, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 52500 Fir Rd, Granger, IN 46530 Phone: 574-234-8161
Roni Aizigov, CRNA, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51050 Bittersweet Rd Ste B, Granger, IN 46530 Phone: 718-208-0446 Fax: 574-244-0240
Kristi M Troyer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 Memorial Dr, Ste 403, Granger, IN 46601 Phone: 574-647-1405 Fax: 574-647-3970

Teresa Lynne Jodway, CPNP - Medicare Nurse Practitioner in Granger, IN