Thomas W Jordan, is a medicare enrolled "Marriage & Family Therapist" provider in Hayward, Wisconsin. He graduated from healthcare school in 2014 and has 11 years of diverse experience with area of expertise as Marriage And Family Therapist. He is a member of the group practice Superior Counseling Llc and his current practice location is
10592 Main St, Hayward, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 934-1381.
Thomas W Jordan is licensed to practice in Wisconsin (license number 1085-124) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316367048.
Healthcare Provider's Profile
| Full Name | Thomas W Jordan |
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| Gender | Male |
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| Speciality | Marriage And Family Therapist |
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| Experience | 11 Years |
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| Location | 10592 Main St, Hayward, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Thomas W Jordan graduated from medical school in 2014
NPI Data:
- NPI Number: 1316367048
- Provider Enumeration Date: 04/21/2014
- Last Update Date: 09/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385097765
- Enrollment ID: I20240201002437
Medical Identifiers
Medical identifiers for Thomas W Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316367048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 1085-124 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Superior Counseling Llc | 1456736065 | 4 |
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. Thomas W Jordan allows following entities to bill medicare on his behalf.
| Entity Name | Superior Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225583883
PECOS PAC ID: 1456736065
Enrollment ID: O20220919001410 |
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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. Thomas W 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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Thomas W Jordan,
16402 W Rainbow Rd,
Hayward, WI 54843-2527
Ph: (651) 808-3926 | Thomas W Jordan,
10592 Main St,
Hayward, WI 54843-6658
Ph: (715) 934-1381 |
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