David Jordan, FNP in Normal, IL - Medicare Nurse Practitioner

David Jordan, FNP is a medicare enrolled "Nurse Practitioner - Family" in Normal, Illinois. His current practice location is 1304 Franklin Ave, Normal, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 454-1400.

David Jordan is licensed to practice in Illinois (license number 209.026243) 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 1295452464.

Contact Information

	David Jordan, FNP
	1304 Franklin Ave, Normal, IL 61761-3558
	(309) 454-1400
	Not Available

Map and Direction

Provider's Profile

Full Name	David Jordan
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1304 Franklin Ave, Normal, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295452464
Provider Enumeration Date: 10/27/2022
Last Update Date: 04/19/2023

Medicare PECOS Information:

PECOS PAC ID: 5698145209
Enrollment ID: I20221222002104

Medical Identifiers

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

Identifier	Type	State	Issuer
1295452464	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.026243 (Illinois)	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. David Jordan allows following entities to bill medicare on his behalf.

Entity Name	Carle West Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147

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. David Jordan 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
David Jordan, FNP 611 W. Park St., Fapc, Urbana, IL 61801 Ph: () -	David Jordan, FNP 1304 Franklin Ave, Normal, IL 61761-3558 Ph: (309) 454-1400

Reviews and Comments

Nurse Practitioner Nurses in Normal, IL

Bethani Christianson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Fort Jesse Rd Ste 110, Normal, IL 61761 Phone: 309-661-6290
Becky Largent, LCSW, APRN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Fort Jesse Rd, Normal, IL 61761 Phone: 309-664-3130 Fax: 309-664-3258
Ms. Alicia Layton, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1304 Franklin Ave Ste 380, Normal, IL 61761 Phone: 309-268-5130 Fax: 309-268-5784
Jessica Johann, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Fort Jesse Rd, 110, Normal, IL 61761 Phone: 309-661-6290 Fax: 309-451-1354
Jennifer Lanz, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Suite 4500, Normal, IL 61761 Phone: 309-556-8300 Fax: 309-556-8293
Jaycie N Liebendorfer, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Suite 1100, Normal, IL 61761 Phone: 309-268-2727
Michelle Steele, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 482 Wylie Dr, Normal, IL 61761 Phone: 309-621-4288

David Jordan, FNP - Medicare Nurse Practitioner in Normal, IL