Dakota Jordan, PA-C is a medicare enrolled "Physician Assistant" physician in Colorado Springs, Colorado. Her current practice location is
175 S Union Blvd Ste 315, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 365-3700.
Dakota Jordan is licensed to practice in Colorado (license number PA.0006813) 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 1164092185.
Physician's Profile
| Full Name | Dakota Jordan |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 175 S Union Blvd Ste 315, Colorado Springs, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164092185
- Provider Enumeration Date: 06/30/2021
- Last Update Date: 07/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 3577965680
- Enrollment ID: I20210713000498
Medical Identifiers
Medical identifiers for Dakota Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164092185 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208800000X | Urology | PA.0006813 (Colorado) | Secondary |
| 363A00000X | Physician Assistant | PA.0006813 (Colorado) | 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. Dakota 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 |
Dakota Jordan, PA-C 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: (970) 624-4034 | Dakota Jordan, PA-C 175 S Union Blvd Ste 315, Colorado Springs, CO 80910-3126 Ph: (719) 365-3700 |
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