Jordan Blaine, in Orange, CA - Medicare Nurse Practitioner

Jordan Blaine, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Orange, California. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Thomas Health Services Inc and her current practice location is 4900 E Chapman Ave Unit 103, Orange, California. You can reach out to her office (for appointments etc.) via phone at (323) 365-6312.

Jordan Blaine is licensed to practice in California (license number 95014481) 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 1093171480.

Contact Information

	Jordan Blaine,
	4900 E Chapman Ave Unit 103, Orange, CA 92869-4140
	(323) 365-6312
	Not Available

Map and Direction

Provider's Profile

Full Name	Jordan Blaine
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	4900 E Chapman Ave Unit 103, Orange, California
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 Blaine graduated from nursing school in 2020

NPI Data:

NPI Number: 1093171480
Provider Enumeration Date: 01/14/2016
Last Update Date: 05/06/2020

Medicare PECOS Information:

PECOS PAC ID: 9638598113
Enrollment ID: I20201001003510

Medical Identifiers

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

Identifier	Type	State	Issuer
1093171480	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95014481 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Thomas Health Services Inc	1355748021	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 Blaine allows following entities to bill medicare on her behalf.

Entity Name	Inspire Psychiatric Nursing Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649788472 PECOS PAC ID: 7012278625 Enrollment ID: O20180222001263

Entity Name	Thomas Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659972099 PECOS PAC ID: 1355748021 Enrollment ID: O20210922002229

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 Blaine 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 Blaine, 4900 E Chapman Ave Unit 103, Orange, CA 92869-4140 Ph: (323) 365-6312	Jordan Blaine, 4900 E Chapman Ave Unit 103, Orange, CA 92869-4140 Ph: (323) 365-6312

Reviews and Comments

Nurse Practitioner Nurses in Orange, CA

Jennifer Michelle Shively, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-204-3277
Stephanie Pukini, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2592 N Santiago Blvd, Orange, CA 92867 Phone: 855-434-7763
Patricia Goings, N.P., R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2501 E Chapman Ave, Orange, CA 92869 Phone: 714-628-3110 Fax: 714-633-1715
Anna Katrina Cruz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 W Chapman Ave, Orange, CA 92868 Phone: 714-633-4300
Mrs. Theresa A Limlengco, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 438 E Katella Ave Ste 226, Orange, CA 92867 Phone: 760-933-0031
Lea D Wood, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7630 E Chapman Ave Ste B, Orange, CA 92869 Phone: 714-287-0459
Elen G Araya, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812

Jordan Blaine, - Medicare Nurse Practitioner in Orange, CA