Jordan Fried, in Fort Sam Houston, TX - Medicare Nurse Anesthetist, Certified Registered

Jordan Fried, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Sam Houston, Texas. His current practice location is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 916-7595.

Jordan Fried is licensed to practice in Alaska (license number 169123) 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 1679929624.

Contact Information

	Jordan Fried,
	3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504
	(210) 916-7595
	Not Available

Map and Direction

Provider's Profile

Full Name	Jordan Fried
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	3551 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679929624
Provider Enumeration Date: 05/09/2016
Last Update Date: 08/08/2025

Medicare PECOS Information:

PECOS PAC ID: 6608283460
Enrollment ID: I20210324000872

Medical Identifiers

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

Identifier	Type	State	Issuer
1679929624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	169123 (Alaska)	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 Fried allows following entities to bill medicare on his behalf.

Entity Name	Providence Anchorage Anesthesia Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659368397 PECOS PAC ID: 2163414830 Enrollment ID: O20040401000952

Entity Name	Chugach Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093712358 PECOS PAC ID: 2961465653 Enrollment ID: O20041109001035

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 Fried 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 Fried, 5955 Zeamer Ave, Jber, AK 99506-3702 Ph: (907) 580-1820	Jordan Fried, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-7595

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Sam Houston, TX

Janet Jones Sims, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 253-223-6272
Dr. Adam Sokolowski, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-8216
Matthew Wayne Mcgregor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Mrs. Debra Valdivieso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9404
Heather Sherman Leal, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-8534
Kendal W Miller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9588
George C May, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9588

Jordan Fried, - Medicare Nurse Anesthetist, Certified Registered in Fort Sam Houston, TX