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

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 NameJordan Enevold
GenderFemale
SpecialitySpeech-language Pathologist
Location15590 90th St Ne, Otsego, Minnesota
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1851076202NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-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 NameFamily Speech & Therapy Services Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI 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 AddressPractice 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    

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.