Mrs Keli Elizabeth Jordan-gardner, OD is a medicare enrolled "Optometrist" provider in Rochelle, Illinois. She went to Illinois College Of Optometry At Chicago and graduated in 1995 and has 29 years of diverse experience with area of expertise as Optometry. She is a member of the group practice J A K Enterprises Inc and her current practice location is
234 May Mart Dr, Rochelle, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 562-7077.
Mrs Keli Elizabeth Jordan-gardner is licensed to practice in Illinois (license number 468857) 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 1457374811.
Healthcare Provider's Profile
Full Name | Mrs Keli Elizabeth Jordan-gardner |
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Gender | Female |
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Speciality | Optometry |
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Experience | 29 Years |
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Location | 234 May Mart Dr, Rochelle, Illinois |
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Accepts Medicare Assignments | Yes. 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 Keli Elizabeth Jordan-gardner attended and graduated from Illinois College Of Optometry At Chicago in 1995
NPI Data:
- NPI Number: 1457374811
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 11/11/2009
Medicare PECOS Information:
- PECOS PAC ID: 3375678162
- Enrollment ID: I20100318000433
Medical Identifiers
Medical identifiers for Mrs Keli Elizabeth Jordan-gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457374811 | NPI | - | NPPES |
7106766 | Other | | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 468857 (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. Mrs Keli Elizabeth Jordan-gardner allows following entities to bill medicare on her behalf.
Provider Name | J A K Enterprises Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1508856923 PECOS PAC ID: 3173519014 Enrollment ID: O20040424000025 |
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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. Mrs Keli Elizabeth Jordan-gardner 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 |
Mrs Keli Elizabeth Jordan-gardner, OD 234 May Mart Dr, Rochelle, IL 61068-1716 Ph: (815) 562-7077 | Mrs Keli Elizabeth Jordan-gardner, OD 234 May Mart Dr, Rochelle, IL 61068-1716 Ph: (815) 562-7077 |
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