Juan Rafael Jardines, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Lake Alfred, Florida. His current practice location is
2109 Corso Dr, Lake Alfred, Florida. You can reach out to his office (for appointments etc.) via phone at
(786) 468-1600.
Juan Rafael Jardines is licensed to practice in Florida (license number ARNP11014794) 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 1841968617.
Provider's Profile
| Full Name | Juan Rafael Jardines |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2109 Corso Dr, Lake Alfred, Florida |
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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: 1841968617
- Provider Enumeration Date: 09/05/2021
- Last Update Date: 06/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 8628440989
- Enrollment ID: I20230214002504
Medical Identifiers
Medical identifiers for Juan Rafael Jardines such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841968617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | ARNP11014794 (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. Juan Rafael Jardines allows following entities to bill medicare on his behalf.
| Entity Name | Guidewell Sanitas I, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396124046
PECOS PAC ID: 9537447107
Enrollment ID: O20161102001073 |
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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. Juan Rafael Jardines 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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Juan Rafael Jardines, ARNP
2109 Corso Dr,
Lake Alfred, FL 33850-2579
Ph: (786) 468-1600 | Juan Rafael Jardines, ARNP
2109 Corso Dr,
Lake Alfred, FL 33850-2579
Ph: (786) 468-1600 |
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