Jodi Mcconnell, is a medicare enrolled "Nurse Practitioner" in Ball Ground, Georgia. Her current practice location is
115 Lathems Mill Ln, Ball Ground, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 595-7227.
Jodi Mcconnell is licensed to practice in Georgia (license number RN122137) 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 1780182725.
Provider's Profile
| Full Name | Jodi Mcconnell |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 115 Lathems Mill Ln, Ball Ground, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1780182725
- Provider Enumeration Date: 01/24/2018
- Last Update Date: 01/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 9335590462
- Enrollment ID: I20240112001818
Medical Identifiers
Medical identifiers for Jodi Mcconnell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780182725 | NPI | - | NPPES |
| RN122137 | Other | GA | ADVANCED PRACTICE-NP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | RN122137 (Georgia) | 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. Jodi Mcconnell allows following entities to bill medicare on her behalf.
| Entity Name | Northside Surgical Professional Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356630990
PECOS PAC ID: 8628253424
Enrollment ID: O20110420000598 |
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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. Jodi Mcconnell 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 |
|---|
Jodi Mcconnell,
115 Lathems Mill Ln,
Ball Ground, GA 30107-7906
Ph: () - | Jodi Mcconnell,
115 Lathems Mill Ln,
Ball Ground, GA 30107-7906
Ph: (678) 595-7227 |
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