Jordan Traynham, PA-C - Medicare Physician Assistant in Minneapolis, MN

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Jordan Traynham, PA-C is a medicare enrolled "Physician Assistant" in Minneapolis, Minnesota. His current practice location is 717 Delaware St Se Ste 508, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 626-6911.

Jordan Traynham is licensed to practice in Minnesota (license number 13979) 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 1588270136.

Contact Information

Jordan Traynham, PA-C
717 Delaware St Se Ste 508,
Minneapolis, MN 55414-2959
(612) 626-6911
(612) 625-3481

Map and Direction




Provider's Profile

Full NameJordan Traynham
GenderMale
SpecialityPhysician Assistant
Location717 Delaware St Se Ste 508, Minneapolis, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588270136
  • Provider Enumeration Date: 09/18/2020
  • Last Update Date: 03/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3375938996
  • Enrollment ID: I20220317002530

Medical Identifiers

Medical identifiers for Jordan Traynham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588270136NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 22186 (Wisconsin)Secondary
363A00000XPhysician Assistant (NU)Secondary
363A00000XPhysician Assistant 13979 (Minnesota)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 Traynham allows following entities to bill medicare on his behalf.
Entity NameMayo Clinic Health System-lake City
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164463659
PECOS PAC ID: 1951213487
Enrollment ID: O20031104000095
Entity NameMayo Clinic Health System-southeast Minnesota Region
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891701637
PECOS PAC ID: 4385556703
Enrollment ID: O20031104000408
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811077175
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameMayo Clinic Health System-southwest Minnesota Region
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578545422
PECOS PAC ID: 4688585771
Enrollment ID: O20031110000134
Entity NameMayo Clinic Health System-lake City
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1538113022
PECOS PAC ID: 1951213487
Enrollment ID: O20070711000490
Entity NameMayo Clinic Health System-southwest Minnesota Region
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1740256668
PECOS PAC ID: 4688585771
Enrollment ID: O20171011003933
Entity NameMayo Clinic Health System-southeast Minnesota Region
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1063435410
PECOS PAC ID: 4385556703
Enrollment ID: O20171011003946

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 Traynham 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 Traynham, PA-C
200 1st St Sw,
Rochester, MN 55905-0001

Ph: Not Available		Jordan Traynham, PA-C
717 Delaware St Se Ste 508,
Minneapolis, MN 55414-2959

Ph: (612) 626-6911

Reviews and Comments


Physician Assistant Nurses in Minneapolis, MN

Melissa Richardson, PA-C
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Phone: 612-273-3000    
Ms. Chelsea Anjelica Mielke, PA-C
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Phone: 651-225-7855    Fax: 651-312-1570
Courtney Fields,
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Tara Jean Rick, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: University Of Minnesota Physicians, 420 Delaware St Se, Mmc276, Minneapolis, MN 55455
Phone: 612-624-0909    
Christine Ray Hsu, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 900 Nicollet Mall, Minneapolis, MN 55403
Phone: 612-338-0035    

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.