Mrs Danielle Nicole Jividen, PA-C - Medicare Physician Assistant in Fort Myers, FL

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Mrs Danielle Nicole Jividen, PA-C is a medicare enrolled "Physician Assistant" in Fort Myers, Florida. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Gastroenterology Associates Of Southwest Florida Llc and her current practice location is 9981 S Healthpark Dr, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 343-2052.

Mrs Danielle Nicole Jividen is licensed to practice in Florida (license number PA9115006) 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 1033889175.

Contact Information

Mrs Danielle Nicole Jividen, PA-C
9981 S Healthpark Dr,
Fort Myers, FL 33908-3618
(239) 343-2052
(239) 343-5848

Map and Direction




Provider's Profile

Full NameMrs Danielle Nicole Jividen
GenderFemale
SpecialityPhysician Assistant
Experience5 Years
Location9981 S Healthpark Dr, Fort Myers, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Danielle Nicole Jividen graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1033889175
  • Provider Enumeration Date: 09/20/2021
  • Last Update Date: 06/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8022406750
  • Enrollment ID: I20211028001638

Medical Identifiers

Medical identifiers for Mrs Danielle Nicole Jividen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033889175NPI-NPPES
114926700MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA9115006 (Florida)Primary
363A00000XPhysician Assistant (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cape Coral HospitalCape coral, FLHospital
Lee Memorial HospitalFort myers, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gastroenterology Associates Of Southwest Florida Llc862896093762

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. Mrs Danielle Nicole Jividen allows following entities to bill medicare on her behalf.
Entity NameLee Memorial Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992873319
PECOS PAC ID: 8729996608
Enrollment ID: O20031118000604
Entity NameGastroenterology Associates of Southwest Florida LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154304087
PECOS PAC ID: 8628960937
Enrollment ID: O20040329001722
Entity NameMillennium Physician Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811122880
PECOS PAC ID: 9830244433
Enrollment ID: O20090903000338
Entity NameFort Myers Internal Medicine LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346588621
PECOS PAC ID: 7416196423
Enrollment ID: O20130625000070

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. Mrs Danielle Nicole Jividen 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 AddressPractice Location Address
Mrs Danielle Nicole Jividen, PA-C
Po Box 2147,
Fort Myers, FL 33902-2147

Ph: (239) 343-2052		Mrs Danielle Nicole Jividen, PA-C
9981 S Healthpark Dr,
Fort Myers, FL 33908-3618

Ph: (239) 343-2052

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.