Jordan Bass Wald, CRNP in Vestavia Hills, AL - Medicare Nurse Practitioner

Jordan Bass Wald, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Vestavia Hills, Alabama. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Immediate Care, Llc and her current practice location is 1575 Montgomery Hwy, Vestavia Hills, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 822-1150.

Jordan Bass Wald is licensed to practice in Alabama (license number 1-135908) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043757784.

Contact Information

	Jordan Bass Wald, CRNP
	1575 Montgomery Hwy, Vestavia Hills, AL 35216-4510
	(205) 822-1150
	(205) 822-1158

Map and Direction

Provider's Profile

Full Name	Jordan Bass Wald
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1575 Montgomery Hwy, Vestavia Hills, Alabama
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jordan Bass Wald graduated from nursing school in 2016

NPI Data:

NPI Number: 1043757784
Provider Enumeration Date: 01/19/2017
Last Update Date: 01/23/2021

Medicare PECOS Information:

PECOS PAC ID: 7214288505
Enrollment ID: I20180926000540

Medical Identifiers

Medical identifiers for Jordan Bass Wald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043757784	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-135908 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Immediate Care, Llc	6103114087	28

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. Jordan Bass Wald allows following entities to bill medicare on her behalf.

Entity Name	Medcenter Hoover, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346680584 PECOS PAC ID: 3375779473 Enrollment ID: O20131120000370

Entity Name	Southern Immediate Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467909978 PECOS PAC ID: 6103114087 Enrollment ID: O20161010000102

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. Jordan Bass Wald 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
Jordan Bass Wald, CRNP 1575 Montgomery Hwy, Vestavia Hills, AL 35216-4510 Ph: (205) 822-1150	Jordan Bass Wald, CRNP 1575 Montgomery Hwy, Vestavia Hills, AL 35216-4510 Ph: (205) 822-1150

Reviews and Comments

Nurse Practitioner Nurses in Vestavia Hills, AL

James Stanton, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 Montgomery Hwy Ste 201, Vestavia Hills, AL 35216 Phone: 205-971-1925 Fax: 205-971-1926
Charlotte Elizabeth Mason, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 790 Montgomery Hwy Ste 112, Vestavia Hills, AL 35216 Phone: 205-769-6800 Fax: 205-769-6801
Emily Donielle Worthy, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1680 Montgomery Hwy, Vestavia Hills, AL 35216 Phone: 205-236-6394
Barbara Aguilar, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1776 Independence Ct Ste 302, Vestavia Hills, AL 35216 Phone: 205-506-0322 Fax: 205-506-4390
Dr. Ashley Leith Hodges, PHD, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1776 Independence Ct Ste 302, Vestavia Hills, AL 35216 Phone: 205-506-0322
Haley Whitley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2010 Patton Chapel Rd, Vestavia Hills, AL 35216 Phone: 205-208-9001

Jordan Bass Wald, CRNP - Medicare Nurse Practitioner in Vestavia Hills, AL