Mary Jordan Conzelman, in Mountain Brk, AL - Medicare Nurse Practitioner

Mary Jordan Conzelman, is a medicare enrolled "Nurse Practitioner - Family" in Mountain Brk, Alabama. Her current practice location is 2700 Highway 280 S Ste 212, Mountain Brk, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 878-4368.

Mary Jordan Conzelman is licensed to practice in Alabama (license number 1-181941) 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 1316660210.

Contact Information

	Mary Jordan Conzelman,
	2700 Highway 280 S Ste 212, Mountain Brk, AL 35223-2468
	(205) 878-4368
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Jordan Conzelman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2700 Highway 280 S Ste 212, Mountain Brk, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316660210
Provider Enumeration Date: 09/26/2022
Last Update Date: 10/19/2024

Medicare PECOS Information:

PECOS PAC ID: 9830629542
Enrollment ID: I20250211001921

Medical Identifiers

Medical identifiers for Mary Jordan Conzelman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316660210	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-181941 (Alabama)	Primary
163W00000X	Registered Nurse	1-181941 (Alabama)	Secondary

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. Mary Jordan Conzelman allows following entities to bill medicare on her behalf.

Entity Name	Comprehensive Pain Center, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871137943 PECOS PAC ID: 9830524594 Enrollment ID: O20200127002286

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. Mary Jordan Conzelman 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
Mary Jordan Conzelman, 3345 Mountainside Rd, Vestavia, AL 35243-5012 Ph: (251) 508-7571	Mary Jordan Conzelman, 2700 Highway 280 S Ste 212, Mountain Brk, AL 35223-2468 Ph: (205) 878-4368

Reviews and Comments

Nurse Practitioner Nurses in Mountain Brk, AL

Mrs. Holly Marie Callaway, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2700 Highway 280 S Ste 212, Mountain Brk, AL 35223 Phone: 205-878-4368 Fax: 205-878-4367
Chaeli Lawson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Office Park Cir Ste 216, Mountain Brk, AL 35223 Phone: 256-453-3671
Ms. Dawn Sizemore Adams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 Cahaba Village Plz Ste 110, Mountain Brk, AL 35243 Phone: 205-293-1205
Mary Catherine Culotta, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Office Park Cir, Mountain Brk, AL 35223 Phone: 205-933-0320 Fax: 205-933-6400
Wendy Clemons Cantrell, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 Cahaba Rd, Mountain Brk, AL 35223 Phone: 205-877-9773 Fax: 205-877-9775
Grace Eckford Grantier, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2700 Highway 280 S Ste 212, Mountain Brk, AL 35223 Phone: 205-878-4368

Mary Jordan Conzelman, - Medicare Nurse Practitioner in Mountain Brk, AL