Jordan Rebecca Lull, MD - Medicare Pediatrics in Charlottesville, VA

Jordan Rebecca Lull, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Charlottesville, Virginia. Her current practice location is 1215 Lee St, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 924-1761.

Jordan Rebecca Lull is licensed to practice in Virginia (license number 0101279397) 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 1184086852.

Contact Information

Jordan Rebecca Lull, MD
1215 Lee St,
Charlottesville, VA 22908-2360
(434) 924-1761
(434) 982-3561



Physician's Profile

Full NameJordan Rebecca Lull
GenderFemale
SpecialityPediatrics - Pediatric Critical Care Medicine
Location1215 Lee St, Charlottesville, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184086852
  • Provider Enumeration Date: 03/22/2016
  • Last Update Date: 08/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0446530091
  • Enrollment ID: I20230811002579

Medical Identifiers

Medical identifiers for Jordan Rebecca Lull such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184086852NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 0101279397 (Virginia)Secondary
208000000XPediatrics MD466837 (Pennsylvania)Secondary
208M00000XHospitalist MD466837 (Pennsylvania)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine 0101279397 (Virginia)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. Jordan Rebecca Lull allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Virginia Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033138250
PECOS PAC ID: 4880590728
Enrollment ID: O20040102000780

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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. Jordan Rebecca Lull 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
Jordan Rebecca Lull, MD
Po Box 9007,
Charlottesville, VA 22906-9007

Ph: (434) 295-1000
Jordan Rebecca Lull, MD
1215 Lee St,
Charlottesville, VA 22908-2360

Ph: (434) 924-1761

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Pediatrics Doctors in Charlottesville, VA

Mr. Michael Douglas Dickens, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1011 E Jefferson St, Charlottesville, VA 22902
Phone: 434-296-9161    Fax: 434-296-1036
Linda A. Waggoner Fountain, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1204 W Main St, Charlottesville, VA 22903
Phone: 434-924-0123    Fax: 434-243-3300
Marion Elizabeth Szwedo, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1011 E Jefferson St, Charlottesville, VA 22902
Phone: 434-296-9161    Fax: 434-977-6068
Dr. Gregory Rees Sturz, DO, PHD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1215 Lee St, Box 800501, Charlottesville, VA 22908
Phone: 494-942-5321    Fax: 434-982-3816
Anne C Butz, LCSW
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1204 W Main St, Charlottesville, VA 22903
Phone: 434-924-5321    Fax: 434-244-4412
Jessica C Di Zio, PNP
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-1761    Fax: 434-982-3561
Brooke D. Vergales, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-2335    Fax: 434-982-0796

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