Jordan Enevold, in Otsego, MN - Medicare Speech-Language Pathologist Provider

Jordan Enevold, is a medicare enrolled "Speech-language Pathologist" provider in Otsego, Minnesota. Her current practice location is 15590 90th St Ne, Otsego, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 755-4275.

Jordan Enevold is licensed to practice in * (Not Available) (license number ) 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 1851076202.

Contact Information

	Jordan Enevold,
	15590 90th St Ne, Otsego, MN 55330-9452
	(763) 755-4275
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Enevold
Gender	Female
Speciality	Speech-language Pathologist
Location	15590 90th St Ne, Otsego, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851076202
Provider Enumeration Date: 06/21/2023
Last Update Date: 06/21/2023

Medicare PECOS Information:

PECOS PAC ID: 4981064565
Enrollment ID: I20230713003240

Medical Identifiers

Medical identifiers for Jordan Enevold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851076202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	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. Jordan Enevold allows following entities to bill medicare on her behalf.

Provider Name	Family Speech & Therapy Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235285966 PECOS PAC ID: 8022335397 Enrollment ID: O20150325001650

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. Jordan Enevold 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
Jordan Enevold, 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: () -	Jordan Enevold, 15590 90th St Ne, Otsego, MN 55330-9452 Ph: (763) 755-4275

Reviews and Comments

Speech-Language Pathologist in Otsego, MN

Nicole Martinson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15555 73rd St Ne, Otsego, MN 55330 Phone: 763-245-6591
Page Holst, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15590 90th St Ne, Otsego, MN 55330 Phone: 763-755-4275 Fax: 763-755-4261
Laura Stevenson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15990 90th St., Otsego, MN 55330 Phone: 763-755-4275
Jolene Marie Carlson Law, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15590 90th St Ne, Otsego, MN 55330 Phone: 763-755-4275 Fax: 763-755-4261
Lydia Nemeth, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 15590 90th St Ne, Otsego, MN 55330 Phone: 763-755-4275

Jordan Enevold, - Medicare Speech-Language Pathologist in Otsego, MN