Dr Jordan Lee Nordquist, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Johnstown, Colorado. His current practice location is
4901 Thompson Pkwy, Johnstown, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 338-4545.
Dr Jordan Lee Nordquist is licensed to practice in Colorado (license number DR.0064502) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679835615.
Physician's Profile
| Full Name | Dr Jordan Lee Nordquist |
|---|
| Gender | Male |
|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
|---|
| Location | 4901 Thompson Pkwy, Johnstown, Colorado |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679835615
- Provider Enumeration Date: 06/14/2012
- Last Update Date: 06/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 3779854252
- Enrollment ID: I20180205001071
Medical Identifiers
Medical identifiers for Dr Jordan Lee Nordquist such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679835615 | NPI | - | NPPES |
| 029064 | Other | CO | KAISER COMMERCIAL NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 10033 (South Dakota) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 565422 (Texas) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | DR.0064502 (Colorado) | 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. Dr Jordan Lee Nordquist allows following entities to bill medicare on his behalf.
| Entity Name | Quentin N Burdick Comprehensive Health Care Facility |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1952346934 PECOS PAC ID: 5496651853 Enrollment ID: O20031208001052 |
|---|
| Entity Name | Rosebud Indian Health Service |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337 |
|---|
| Entity Name | Fort Thompson Indian Health Service |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1710995907 PECOS PAC ID: 9739080896 Enrollment ID: O20040120000889 |
|---|
| Entity Name | Eagle Butte Indian Health Service Hospital |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1558395848 PECOS PAC ID: 7517852759 Enrollment ID: O20040217001024 |
|---|
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 Lee Nordquist 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 |
Dr Jordan Lee Nordquist, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Dr Jordan Lee Nordquist, MD 4901 Thompson Pkwy, Johnstown, CO 80534-6426 Ph: (303) 338-4545 |
Reviews and Comments