Jordan Nicholle Dever, MD in Beavercreek, OH

Jordan Nicholle Dever, MD is a medicare enrolled "Family Medicine" physician in Beavercreek, Ohio. Her current practice location is 2400 Lakeview Dr Ste 100, Beavercreek, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 429-4369.

Jordan Nicholle Dever is licensed to practice in Florida (license number ME167386) 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 1508449430.

Contact Information

	Jordan Nicholle Dever, MD
	2400 Lakeview Dr Ste 100, Beavercreek, OH 45431-2581
	(937) 429-4369
	Not Available

Map and Direction

Physician's Profile

Full Name	Jordan Nicholle Dever
Gender	Female
Speciality	Family Medicine
Location	2400 Lakeview Dr Ste 100, Beavercreek, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508449430
Provider Enumeration Date: 04/29/2021
Last Update Date: 06/22/2025

Medicare PECOS Information:

PECOS PAC ID: 9537531256
Enrollment ID: I20230207000272

Medical Identifiers

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

Identifier	Type	State	Issuer
1508449430	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35.153105 (Ohio)	Secondary
207Q00000X	Family Medicine	ME167386 (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. Jordan Nicholle Dever allows following entities to bill medicare on her behalf.

Entity Name	St John Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867

Entity Name	Creek Nation Hospital & Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130

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 Nicholle Dever 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 Nicholle Dever, MD 1800 Miccosukee Commons Dr Apt 407, Tallahassee, FL 32308-5436 Ph: (740) 285-6303	Jordan Nicholle Dever, MD 2400 Lakeview Dr Ste 100, Beavercreek, OH 45431-2581 Ph: (937) 429-4369

Reviews and Comments

Family Medicine Doctors in Beavercreek, OH

Nikhil Tej Kurapati, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7200
Dr. Maureen Kennedy Perez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1425 N Fairfield Rd., Ste 110, Beavercreek, OH 45432 Phone: 937-426-0106 Fax: 937-426-7153
Theresia Gordnier, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7200
Kevin A Carter, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2633 Commons Blvd Ste 110, Beavercreek, OH 45431 Phone: 937-705-6747 Fax: 937-705-6713
Dr. Kate Grayson Meizlish, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431 Phone: 937-558-3900 Fax: 937-558-3999
Dr. Gordon S Walbroehl, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4172 Indian Ripple Rd, Ste. A, Beavercreek, OH 45440 Phone: 937-431-3779 Fax: 937-431-3776
Dr. Harminder Grewal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7200

Jordan Nicholle Dever, MD - Medicare Family Medicine in Beavercreek, OH