Mr Jeffrey Ludan Vongjesda, MS, APRN, FNP-C in Jacksonville, FL

Mr Jeffrey Ludan Vongjesda, MS, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. His current practice location is 3728 Philips Hwy Ste 34, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 399-2766.

Mr Jeffrey Ludan Vongjesda is licensed to practice in Florida (license number ARNP9278630) 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 1003286824.

Contact Information

	Mr Jeffrey Ludan Vongjesda, MS, APRN, FNP-C
	3728 Philips Hwy Ste 34, Jacksonville, FL 32207-6840
	(904) 399-2766
	(904) 549-8300

Map and Direction

Provider's Profile

Full Name	Mr Jeffrey Ludan Vongjesda
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3728 Philips Hwy Ste 34, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003286824
Provider Enumeration Date: 10/06/2015
Last Update Date: 05/23/2025

Medicare PECOS Information:

PECOS PAC ID: 6901199645
Enrollment ID: I20170223001539

Medical Identifiers

Medical identifiers for Mr Jeffrey Ludan Vongjesda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003286824	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	ARNP9278630 (Florida)	Primary
363LF0000X	Nurse Practitioner - Family	60962308 (Washington)	Secondary
363LF0000X	Nurse Practitioner - Family	95007934 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	817161 (Nevada)	Secondary
363LF0000X	Nurse Practitioner - Family	9278630 (Florida)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	APRN9278630 (Florida)	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. Mr Jeffrey Ludan Vongjesda allows following entities to bill medicare on his behalf.

Entity Name	Beach Medical Specialist, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720125479 PECOS PAC ID: 5193897296 Enrollment ID: O20080707000588

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. Mr Jeffrey Ludan Vongjesda 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
Mr Jeffrey Ludan Vongjesda, MS, APRN, FNP-C 3728 Philips Hwy Ste 34, Jacksonville, FL 32207-6840 Ph: (904) 399-2766	Mr Jeffrey Ludan Vongjesda, MS, APRN, FNP-C 3728 Philips Hwy Ste 34, Jacksonville, FL 32207-6840 Ph: (904) 399-2766

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville, FL

Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844
Jennifer Salenga Arguilla, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8773 Perimeter Park Ct, Jacksonville, FL 32216 Phone: 904-493-3390 Fax: 904-493-3395
Jessica Pelkowski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Shannon Kathleen Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832
Danielle Harper Key, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210 Phone: 904-346-0050 Fax: 904-346-0080

Mr Jeffrey Ludan Vongjesda, MS, APRN, FNP-C - Medicare Nurse Practitioner in Jacksonville, FL