Dr Jordan Todd Weisman, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Rancho Mirage, California. He graduated from healthcare school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Eisenhower Medical Center and his current practice location is
39000 Bob Hope Dr, Rancho Mirage, California. You can reach out to his office (for appointments etc.) via phone at
(760) 837-8767.
Dr Jordan Todd Weisman is licensed to practice in California (license number PSY24304) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932401072.
Healthcare Provider's Profile
| Full Name | Dr Jordan Todd Weisman |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 15 Years |
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| Location | 39000 Bob Hope Dr, Rancho Mirage, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jordan Todd Weisman graduated from medical school in 2009
NPI Data:
- NPI Number: 1932401072
- Provider Enumeration Date: 11/22/2010
- Last Update Date: 12/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 6800221235
- Enrollment ID: I20200114000174
Medical Identifiers
Medical identifiers for Dr Jordan Todd Weisman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932401072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY24304 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Eisenhower Medical Center | 5890689657 | 370 |
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. Dr Jordan Todd Weisman allows following entities to bill medicare on his behalf.
| Entity Name | Eisenhower Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013981554
PECOS PAC ID: 5890689657
Enrollment ID: O20100506000102 |
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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. Dr Jordan Todd Weisman 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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Dr Jordan Todd Weisman, PSYD
39000 Bob Hope Dr,
Rancho Mirage, CA 92270-3221
Ph: (760) 837-8767 | Dr Jordan Todd Weisman, PSYD
39000 Bob Hope Dr,
Rancho Mirage, CA 92270-3221
Ph: (760) 837-8767 |
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