Xiomara Marisa Jordan, LCSW is a medicare enrolled "Counselor - Professional" provider in Livermore, California. Her current practice location is
300 Pullman St, Livermore, California. You can reach out to her office (for appointments etc.) via phone at
(209) 606-9565.
Xiomara Marisa Jordan is licensed to practice in * (Not Available) (license number ) 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 1497203095.
Healthcare Provider's Profile
| Full Name | Xiomara Marisa Jordan |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 300 Pullman St, Livermore, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497203095
- Provider Enumeration Date: 09/13/2016
- Last Update Date: 11/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 8224424015
- Enrollment ID: I20220404001598
Medical Identifiers
Medical identifiers for Xiomara Marisa Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497203095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 98164 (California) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | 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. Xiomara Marisa Jordan allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Xiomara Marisa 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 |
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Xiomara Marisa Jordan, LCSW
1925 Don Pedro Rd,
Ceres, CA 95307-3515
Ph: (209) 606-9565 | Xiomara Marisa Jordan, LCSW
300 Pullman St,
Livermore, CA 94551-9756
Ph: (209) 606-9565 |
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