Jordan Drake Mattern, is a medicare enrolled "Physician Assistant" in Mccook, Nebraska. His current practice location is
3 Bison Dr., Mccook, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(308) 345-7036.
Jordan Drake Mattern is licensed to practice in South Carolina (license number 4301) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306591318.
Provider's Profile
| Full Name | Jordan Drake Mattern |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 3 Bison Dr., Mccook, Nebraska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306591318
- Provider Enumeration Date: 02/17/2022
- Last Update Date: 03/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547649451
- Enrollment ID: I20220623002616
Medical Identifiers
Medical identifiers for Jordan Drake Mattern such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306591318 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 4301 (South Carolina) | Primary |
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 Drake Mattern 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 Drake Mattern, Po Box 935722, Atlanta, GA 31193-5722 Ph: (843) 792-6200 | Jordan Drake Mattern, 3 Bison Dr., Mccook, NE 69001 Ph: (308) 345-7036 |
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