Dr Paul Jordan Hannon, MD in Tampa, FL - Medicare Student in an Organized Health Care Education/Training Program

Dr Paul Jordan Hannon, MD - Medicare Student in an Organized Health Care Education/Training Program in Tampa, FL

Dr Paul Jordan Hannon, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Tampa, Florida. His current practice location is 17 Davis Blvd Ste 308, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 974-2201.

Dr Paul Jordan Hannon is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316408172.

Contact Information

	Dr Paul Jordan Hannon, MD
	17 Davis Blvd Ste 308, Tampa, FL 33606-3438
	(813) 974-2201
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Paul Jordan Hannon
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	17 Davis Blvd Ste 308, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316408172
Provider Enumeration Date: 03/26/2019
Last Update Date: 04/21/2025

Medicare PECOS Information:

PECOS PAC ID: 9032656046
Enrollment ID: I20240807002912

Medical Identifiers

Medical identifiers for Dr Paul Jordan Hannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316408172	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	18336A (Wyoming)	Secondary
207XS0106X	Orthopaedic Surgery - Hand Surgery	18336A (Wyoming)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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. Dr Paul Jordan Hannon 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
Dr Paul Jordan Hannon, MD 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 Ph: () -	Dr Paul Jordan Hannon, MD 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 Ph: (813) 974-2201