Nicolas Michael Jordan, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Watauga, Texas. His current practice location is
8004 Denton Hwy Ste 108, Watauga, Texas. You can reach out to his office (for appointments etc.) via phone at
(404) 436-6414.
Nicolas Michael Jordan is licensed to practice in Texas (license number V6488) 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 1922663822.
Physician's Profile
Full Name | Nicolas Michael Jordan |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 8004 Denton Hwy Ste 108, Watauga, Texas |
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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: 1922663822
- Provider Enumeration Date: 05/06/2019
- Last Update Date: 06/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 8921335746
- Enrollment ID: I20190815003358
Medical Identifiers
Medical identifiers for Nicolas Michael Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922663822 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 7132 (Oklahoma) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | OS22045 (Florida) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | V6488 (Texas) | 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. Nicolas Michael 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 |
Nicolas Michael Jordan, 8004 Denton Hwy Ste 108, Watauga, TX 76148-2469 Ph: (405) 436-6414 | Nicolas Michael Jordan, 8004 Denton Hwy Ste 108, Watauga, TX 76148-2469 Ph: (404) 436-6414 |
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