Jordan Lee Ericksen, AUD in Owings Mills, MD - Medicare Audiologist Provider

Jordan Lee Ericksen, AUD is a medicare enrolled "Audiologist" provider in Owings Mills, Maryland. Her current practice location is 23 Crossroads Dr Ste 400, Owings Mills, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 356-2626.

Jordan Lee Ericksen is licensed to practice in Maryland (license number 01598) 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 1629574462.

Contact Information

	Jordan Lee Ericksen, AUD
	23 Crossroads Dr Ste 400, Owings Mills, MD 21117-5490
	(410) 356-2626
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Lee Ericksen
Gender	Female
Speciality	Audiologist
Location	23 Crossroads Dr Ste 400, Owings Mills, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629574462
Provider Enumeration Date: 04/02/2018
Last Update Date: 09/05/2023

Medicare PECOS Information:

PECOS PAC ID: 7214291616
Enrollment ID: I20180511001373

Medical Identifiers

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

Identifier	Type	State	Issuer
1629574462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	AY2173 (Florida)	Secondary
231H00000X	Audiologist	01598 (Maryland)	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 Lee Ericksen allows following entities to bill medicare on her behalf.

Provider Name	Select Physicians Alliance Pl
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902184781 PECOS PAC ID: 9436323516 Enrollment ID: O20111130000210

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 Lee Ericksen 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
Jordan Lee Ericksen, AUD 10002 Princess Palm Ave Ste 332, Tampa, FL 33619-8327 Ph: (813) 571-7184	Jordan Lee Ericksen, AUD 23 Crossroads Dr Ste 400, Owings Mills, MD 21117-5490 Ph: (410) 356-2626

Reviews and Comments

Audiologist in Owings Mills, MD

Ms. Linda K Fuller, M.A., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 23 Crossroads Dr, #400, Owings Mills, MD 21117 Phone: 410-356-2626 Fax: 410-356-8945
Dr. Yael Gittel Schonfeld, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 23 Crossroads Dr Ste 400, Owings Mills, MD 21117 Phone: 410-356-2626
Dr. Lindsay S Creed, AU.D., CCC-A, FAAA Audiologist Medicare: Medicare Enrolled Practice Location: 23 Crossroads Dr, Suite 400, Owings Mills, MD 21117 Phone: 410-356-2626
Erin Elizabeth Young, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 23 Crossroads Dr, Suite 400, Owings Mills, MD 21117 Phone: 410-356-2626
Alexandra Andre, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 23 Crossroads Dr Ste 400, Owings Mills, MD 21117 Phone: 410-356-2626 Fax: 410-356-8945
Lindsay M Dennison, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 23 Crossroads Dr, Suite 400, Owings Mills, MD 21117 Phone: 410-356-2626 Fax: 410-356-8945
Dr. Laura Emily Toll-marchiano, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 23 Crossroads Dr, Suite 400, Owings Mills, MD 21117 Phone: 410-356-2626 Fax: 410-356-8945

Jordan Lee Ericksen, AUD - Medicare Audiologist in Owings Mills, MD