Jordan David Carr, PA-C - Medicare Physician Assistant in West Pawlet, VT

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Jordan David Carr, PA-C is a medicare enrolled "Physician Assistant" in West Pawlet, Vermont. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Community Health Centers Of The Rutland Region Inc and his current practice location is 278 Vt 149, West Pawlet, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 645-0580.

Jordan David Carr is licensed to practice in Vermont (license number 055.0031401) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114400611.

Contact Information

Jordan David Carr, PA-C
278 Vt 149,
West Pawlet, VT 05775-9798
(802) 645-0580
Not Available

Map and Direction




Provider's Profile

Full NameJordan David Carr
GenderMale
SpecialityPhysician Assistant
Experience8 Years
Location278 Vt 149, West Pawlet, Vermont
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jordan David Carr graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1114400611
  • Provider Enumeration Date: 09/11/2018
  • Last Update Date: 09/11/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0749534550
  • Enrollment ID: I20210614001247

Medical Identifiers

Medical identifiers for Jordan David Carr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114400611NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 055.0031401 (Vermont)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vna & Hospice Of The Southwest Region, Inc.Rutland, VTHome health agency
Bayada Home Health Care, Inc.Rutland, VTHome health agency
Vna & Hospice Of Southwest Region, Inc.Rutland, VTHospice
Rutland Regional Medical CenterRutland, VTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Health Centers Of The Rutland Region Inc2961467386103

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 David Carr allows following entities to bill medicare on his behalf.
Entity NameCommunity Health Centers of the Rutland Region Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336193838
PECOS PAC ID: 2961467386
Enrollment ID: O20041129000357
Entity NameCommunity Health Centers of the Rutland Region Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073567590
PECOS PAC ID: 2961467386
Enrollment ID: O20041129000784
Entity NameCommunity Health Centers of the Rutland Region Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104870922
PECOS PAC ID: 2961467386
Enrollment ID: O20050131001023
Entity NameCommunity Health Centers of the Rutland Region Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467681114
PECOS PAC ID: 2961467386
Enrollment ID: O20100804000784
Entity NameCommunity Health Centers of the Rutland Region Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780969345
PECOS PAC ID: 2961467386
Enrollment ID: O20120321000420

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 David Carr 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 David Carr, PA-C
183 Fitzgerald Rd,
Middletown Springs, VT 05757-4119

Ph: (802) 558-7466		Jordan David Carr, PA-C
278 Vt 149,
West Pawlet, VT 05775-9798

Ph: (802) 645-0580

Reviews and Comments


Physician Assistant Nurses in West Pawlet, VT

Clara Martell, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 278 Vt Route 149, West Pawlet, VT 05775
Phone: 802-645-0580    Fax: 802-645-0587
Michael J Dashnaw, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 278 Vt Route 149, West Pawlet, VT 05775
Phone: 802-645-0580    Fax: 802-645-0587

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.