Allyson Jordan, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Columbus, Ohio. Her current practice location is
187 W Schrock Rd, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 355-7500.
Allyson Jordan is licensed to practice in * (Not Available) (license number ) 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 1427532449.
Provider's Profile
| Full Name | Allyson Jordan |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 187 W Schrock Rd, Columbus, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1427532449
- Provider Enumeration Date: 09/17/2018
- Last Update Date: 07/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 2567850621
- Enrollment ID: I20211022002102
Medical Identifiers
Medical identifiers for Allyson Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427532449 | NPI | - | NPPES |
| 1473276 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 24562 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Allyson Jordan allows following entities to bill medicare on her behalf.
| Entity Name | Pediatric Development Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346286895
PECOS PAC ID: 4789624669
Enrollment ID: O20050510000895 |
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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. Allyson 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 |
|---|
Allyson Jordan,
Dept 781625 Po Box 78000,
Detroit, MI 48278-1625
Ph: (614) 355-8004 | Allyson Jordan,
187 W Schrock Rd,
Columbus, OH 43081-2890
Ph: (614) 355-7500 |
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