Jordan Boss, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Millbury, Ohio. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Promedica Central Physicians and her current practice location is
23251 W Moline Martin Rd, Millbury, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 265-1813.
Jordan Boss is licensed to practice in Ohio (license number 143781) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841929569.
Provider's Profile
| Full Name | Jordan Boss |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 3 Years |
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| Location | 23251 W Moline Martin Rd, Millbury, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jordan Boss graduated from nursing school in 2022
NPI Data:
- NPI Number: 1841929569
- Provider Enumeration Date: 06/08/2022
- Last Update Date: 08/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 4789052762
- Enrollment ID: I20221122003545
Medical Identifiers
Medical identifiers for Jordan Boss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841929569 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 432068 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0020600 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 143781 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Promedica Central Physicians | 2365348190 | 830 |
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 Boss allows following entities to bill medicare on her behalf.
| Entity Name | Promedica Central Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043270150
PECOS PAC ID: 2365348190
Enrollment ID: O20031211000226 |
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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. Jordan Boss 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 |
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Jordan Boss,
23251 W Moline Martin Rd,
Millbury, OH 43447-9522
Ph: (419) 265-1813 | Jordan Boss,
23251 W Moline Martin Rd,
Millbury, OH 43447-9522
Ph: (419) 265-1813 |
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