Jordyn Wallace, CRNP in King Of Prussia, PA - Medicare Nurse Practitioner

Jordyn Wallace, CRNP is a medicare enrolled "Nurse Practitioner - Family" in King Of Prussia, Pennsylvania. Her current practice location is 700 S Henderson Rd Ste 198, King Of Prussia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (267) 699-3900.

Jordyn Wallace is licensed to practice in Pennsylvania (license number SP024856) 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 1538810734.

Contact Information

	Jordyn Wallace, CRNP
	700 S Henderson Rd Ste 198, King Of Prussia, PA 19406-3530
	(267) 699-3900
	Not Available

Map and Direction

Provider's Profile

Full Name	Jordyn Wallace
Gender	Female
Speciality	Nurse Practitioner - Family
Location	700 S Henderson Rd Ste 198, King Of Prussia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538810734
Provider Enumeration Date: 01/10/2022
Last Update Date: 01/10/2022

Medicare PECOS Information:

PECOS PAC ID: 5890172175
Enrollment ID: I20220509000456

Medical Identifiers

Medical identifiers for Jordyn Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538810734	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP024856 (Pennsylvania)	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. Jordyn Wallace allows following entities to bill medicare on her behalf.

Entity Name	Roy M Lerman M D P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215030812 PECOS PAC ID: 5890775878 Enrollment ID: O20040721000642

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. Jordyn Wallace 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
Jordyn Wallace, CRNP 700 S Henderson Rd Ste 108, King Of Prussia, PA 19406-3530 Ph: () -	Jordyn Wallace, CRNP 700 S Henderson Rd Ste 198, King Of Prussia, PA 19406-3530 Ph: (267) 699-3900

Reviews and Comments

Nurse Practitioner Nurses in King Of Prussia, PA

Mrs. Nicole Elaine Wilson-carr, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 357 S Gulph Rd, King Of Prussia, PA 19406 Phone: 610-892-3800
Kelsi Anne Lefever, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 860 1st Ave Ste 2, King Of Prussia, PA 19406 Phone: 610-595-5517 Fax: 215-392-3088
Margaret Hesser Marsello, MSN, RN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 S Goddard Blvd, King Of Prussia, PA 19406 Phone: 106-337-3232
Gregory William Wesley-lynch, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 625 Clark Ave, King Of Prussia, PA 19406 Phone: 215-203-4072
Lisa Masterson Hobson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 Clark Avenue, King Of Prussia, PA 19406 Phone: 610-992-3920
Joanna Lynn Palac, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 S Goddard Blvd, King Of Prussia, PA 19406 Phone: 610-337-3232
Mrs. Margaret Hamel-daymon, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Pulaski Dr, Chop Imaging Center The King Of Prussia Speciality Care, King Of Prussia, PA 19406 Phone: 215-590-7173 Fax: 215-590-1064

Jordyn Wallace, CRNP - Medicare Nurse Practitioner in King Of Prussia, PA