Jordan Ehrlich, - Medicare Physician Assistant in Myrtle Point, OR

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Jordan Ehrlich, is a medicare enrolled "Physician Assistant" in Myrtle Point, Oregon. He went to Oregon Health Sciences University School Of Medicine and graduated in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Legacy Clinics Llc and his current practice location is 324 4th St, Myrtle Point, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 572-2111.

Jordan Ehrlich is licensed to practice in Oregon (license number PA169670) 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 1689915753.

Contact Information

Jordan Ehrlich,
324 4th St,
Myrtle Point, OR 97458-1066
(541) 572-2111
(541) 572-5743

Map and Direction




Provider's Profile

Full NameJordan Ehrlich
GenderMale
SpecialityPhysician Assistant
Experience12 Years
Location324 4th St, Myrtle Point, Oregon
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 Ehrlich attended and graduated from Oregon Health Sciences University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1689915753
  • Provider Enumeration Date: 03/13/2013
  • Last Update Date: 11/07/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4981825411
  • Enrollment ID: I20141024001425

Medical Identifiers

Medical identifiers for Jordan Ehrlich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689915753NPI-NPPES
R0000WFBTVOtherORGROUP MEDICARE NORTH BEND MEDICAL CENTER
500677615MedicaidOR
93-0635514OtherORGROUP TAX ID NORTH BEND MEDICAL CENTER
1407812365OtherORGROUP NPI NORTH BEND MEDICAL CENTER
161133OtherORGROUP DMAP NORTH BEND MEDICAL CENTER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA169670 (Oregon)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Legacy Meridian Park Medical CenterTualatin, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Clinics Llc0244144004714

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 Ehrlich allows following entities to bill medicare on his behalf.
Entity NameNorth Bend Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407812365
PECOS PAC ID: 5597677716
Enrollment ID: O20031105000138
Entity NameLegacy Clinics LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089
Entity NameIcco LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407004757
PECOS PAC ID: 1355406729
Enrollment ID: O20090218000510

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 Ehrlich 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 Ehrlich,
324 4th St,
Myrtle Point, OR 97458-1066

Ph: (541) 572-2111		Jordan Ehrlich,
324 4th St,
Myrtle Point, OR 97458-1066

Ph: (541) 572-2111

Reviews and Comments


Physician Assistant Nurses in Myrtle Point, OR

Allison Ehrlich,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 324 4th St, Myrtle Point, OR 97458
Phone: 541-572-2111    Fax: 541-572-5743
Kaylie Marie Parrish,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 324 4th St, Myrtle Point, OR 97458
Phone: 541-572-2111    Fax: 541-572-5743

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.