Dr Jordan Justin Tjeerd Mulder, DO - Medicare Otolaryngology in Olympia, WA

Dr Jordan Justin Tjeerd Mulder, DO is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Olympia, Washington. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Capital Medical Center Specialty Physicians Llc and his current practice location is 3920 Capital Mall Dr Sw Ste 100a, Olympia, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 704-4745.

Dr Jordan Justin Tjeerd Mulder is licensed to practice in Washington (license number OP60262509) 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 1902054760.

Contact Information

Dr Jordan Justin Tjeerd Mulder, DO
3920 Capital Mall Dr Sw Ste 100a,
Olympia, WA 98502-8701
(360) 704-4745
(360) 704-4746

Map and Direction




Physician's Profile

Full NameDr Jordan Justin Tjeerd Mulder
GenderMale
SpecialityOtolaryngology
Experience17 Years
Location3920 Capital Mall Dr Sw Ste 100a, Olympia, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jordan Justin Tjeerd Mulder graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1902054760
  • Provider Enumeration Date: 09/05/2008
  • Last Update Date: 12/16/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7517135916
  • Enrollment ID: I20120705000459

Medical Identifiers

Medical identifiers for Dr Jordan Justin Tjeerd Mulder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902054760NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YX0905XOtolaryngology - Otolaryngology/facial Plastic Surgery OP60262509 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Capital Medical CenterOlympia, WAHospital
Tacoma General Allenmore HospitalTacoma, WAHospital
Grays Harbor Community HospitalAberdeen, WAHospital
Providence St Peter HospitalOlympia, WAHospital
Mason General Hospital & Family Of ClinicsShelton, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Capital Medical Center Specialty Physicians Llc256765177171

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. Dr Jordan Justin Tjeerd Mulder allows following entities to bill medicare on his behalf.
Entity NameMulticare Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497766638
PECOS PAC ID: 7719899897
Enrollment ID: O20031105000760
Entity NameCapital Medical Center Specialty Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760785281
PECOS PAC ID: 2567651771
Enrollment ID: O20110104000592

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. Dr Jordan Justin Tjeerd Mulder 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 AddressPractice Location Address
Dr Jordan Justin Tjeerd Mulder, DO
404b Black Hills Lane Sw, Capital Ent,
Olympia, WA 98502-8654

Ph: (360) 704-4745
Dr Jordan Justin Tjeerd Mulder, DO
3920 Capital Mall Dr Sw Ste 100a,
Olympia, WA 98502-8701

Ph: (360) 704-4745

Reviews and Comments


Otolaryngology Doctors in Olympia, WA

Alan Lee Cowan, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 3920 Capital Mall Dr Sw Ste 100a, Olympia, WA 98502
Phone: 360-704-4745    Fax: 360-704-4746
Dr. Robert S. Marlan, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 111 Market St Ne, Suite 355, Olympia, WA 98501
Phone: 360-357-8700    
Charles R Souliere Jr., MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506
Phone: 360-923-7000    Fax: 360-923-7089
Dr. Matthew Enkyum Jung, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 128 Lilly Rd Ne Ste 202, Olympia, WA 98506
Phone: 360-357-6314    
Dr. Nathan Benjamin Sautter, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 128 Lilly Rd Ne Ste 202, Olympia, WA 98506
Phone: 360-357-6314    Fax: 360-705-3745
Dr. Sung-won Kim, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 128 Lilly Rd Ne, 202, Olympia, WA 98506
Phone: 360-357-6314    
James S. Hannum, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506
Phone: 360-923-7000    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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