Mr Jorden Wyrick, is a
Adult Companion based in Modesto, California. Mr Jorden Wyrick is licensed to practice in * (Not Available) (license number ) and his current practice location is
800 Scenic Dr Bldg F, Modesto, California. He can be reached at his office (for appointments etc.) via phone at
(209) 569-0376.
NPI number for Mr Jorden Wyrick is 1255859153 and his current mailing address is 1885 Lundy Ave Ste 223, San Jose, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255859153.
Healthcare Provider's Profile
| Full Name | Mr Jorden Wyrick |
|---|
| Gender | Male |
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| Speciality | Adult Companion |
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| Location | 800 Scenic Dr Bldg F, Modesto, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255859153
- Provider Enumeration Date: 08/31/2017
- Last Update Date: 05/16/2025
Medical Identifiers
Medical identifiers for Mr Jorden Wyrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255859153 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | Secondary |
| 372600000X | Adult Companion | (* (Not Available)) | Primary |
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. Mr Jorden Wyrick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jorden Wyrick,
1885 Lundy Ave Ste 223,
San Jose, CA 95131-1888
Ph: (408) 284-9000 | Mr Jorden Wyrick,
800 Scenic Dr Bldg F,
Modesto, CA 95350-6131
Ph: (209) 569-0376 |
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