Beth A Jordan, LPC is a medicare enrolled "Counselor - Professional" provider in Capac, Michigan. Her current practice location is
14675 Downey Rd, Capac, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 395-4343.
Beth A Jordan is licensed to practice in Michigan (license number 6401017317) 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 1104262427.
Healthcare Provider's Profile
| Full Name | Beth A Jordan |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 14675 Downey Rd, Capac, Michigan |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104262427
- Provider Enumeration Date: 05/14/2013
- Last Update Date: 10/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 8224571054
- Enrollment ID: I20240620002591
Medical Identifiers
Medical identifiers for Beth A Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104262427 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 6401017317 (Michigan) | 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. Beth A Jordan allows following entities to bill medicare on her behalf.
| Entity Name | St Clair County Community Mental Health Authority |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1689783672 PECOS PAC ID: 7416861984 Enrollment ID: O20031118000783 |
|---|
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. Beth A 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 |
Beth A Jordan, LPC 3111 Electric Ave, Port Huron, MI 48060-8127 Ph: (810) 985-8900 | Beth A Jordan, LPC 14675 Downey Rd, Capac, MI 48014 Ph: (810) 395-4343 |
Reviews and Comments