Deadra Jordan, PMHNP-BC - Medicare Nurse Practitioner in San Francisco, CA

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Deadra Jordan, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Francisco, California. Her current practice location is 5214f Diamond Heights Blvd # 3422, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (412) 818-0345.

Deadra Jordan is licensed to practice in Texas (license number 1014434) 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 1366052805.

Contact Information

Deadra Jordan, PMHNP-BC
5214f Diamond Heights Blvd # 3422,
San Francisco, CA 94131-2175
(412) 818-0345
(903) 212-7839

Map and Direction




Provider's Profile

Full NameDeadra Jordan
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location5214f Diamond Heights Blvd # 3422, San Francisco, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366052805
  • Provider Enumeration Date: 08/07/2020
  • Last Update Date: 08/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3072924612
  • Enrollment ID: I20201202002856

Medical Identifiers

Medical identifiers for Deadra Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366052805NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95017044 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 1014434 (Texas)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. Deadra Jordan allows following entities to bill medicare on her behalf.
Entity NameBrightside Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801355482
PECOS PAC ID: 6608262464
Enrollment ID: O20230403000549
Entity NameSouthtown Psychiatry Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346836681
PECOS PAC ID: 5698118842
Enrollment ID: O20240205003727
Entity NameSouthtown Psychiatry
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457167702
PECOS PAC ID: 3274061718
Enrollment ID: O20250110002234

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. Deadra 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 AddressPractice Location Address
Deadra Jordan, PMHNP-BC
13102 Fm 839 S,
Henderson, TX 75654-6278

Ph: (903) 343-6861		Deadra Jordan, PMHNP-BC
5214f Diamond Heights Blvd # 3422,
San Francisco, CA 94131-2175

Ph: (412) 818-0345

Reviews and Comments


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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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