Jordan Daugherty, PA-C - Medicare Physician Assistant in Cleveland, OH

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Jordan Daugherty, PA-C is a medicare enrolled "Physician Assistant" in Cleveland, Ohio. Her current practice location is 9500 Euclid Ave, Desk E19, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 444-1779.

Jordan Daugherty is licensed to practice in Ohio (license number 50.004495) 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 1760855126.

Contact Information

Jordan Daugherty, PA-C
9500 Euclid Ave, Desk E19,
Cleveland, OH 44195-0001
(216) 444-1779
(216) 445-4552

Map and Direction




Provider's Profile

Full NameJordan Daugherty
GenderFemale
SpecialityPhysician Assistant
Location9500 Euclid Ave, Cleveland, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760855126
  • Provider Enumeration Date: 11/07/2015
  • Last Update Date: 11/07/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1355641929
  • Enrollment ID: I20181213003035

Medical Identifiers

Medical identifiers for Jordan Daugherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760855126NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 50.004495 (Ohio)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. Jordan Daugherty allows following entities to bill medicare on her behalf.
Entity NameLegacy Good Samaritan Hospital and Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780608216
PECOS PAC ID: 0547179939
Enrollment ID: O20031125000416
Entity NameNorthwest Acute Care Specialists PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215983200
PECOS PAC ID: 7012807373
Enrollment ID: O20040318001535
Entity NameSalem Emergency Physicians Service, PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063454395
PECOS PAC ID: 8628061124
Enrollment ID: O20040408000014

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 Daugherty 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
Jordan Daugherty, PA-C
9500 Euclid Ave, Desk E19,
Cleveland, OH 44195-0001

Ph: (216) 444-1779		Jordan Daugherty, PA-C
9500 Euclid Ave, Desk E19,
Cleveland, OH 44195-0001

Ph: (216) 444-1779

Reviews and Comments


Physician Assistant Nurses in Cleveland, OH

Ms. Janice Louise Todd, PA-C
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Phone: 216-696-4300    Fax: 216-696-7269
Kara Hoye,
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Phone: 216-444-2273    
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Practice Location: 2150 W 117th St Ste 1238, Cleveland, OH 44111
Phone: 216-477-0071    Fax: 216-957-8518

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.