Lynn Jordan, RN, MSN, FNP is a medicare enrolled "Registered Nurse" in Middletown, California. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Permanente Medical Group Inc and her current practice location is
21337 Bush Street, Middletown, California. You can reach out to her office (for appointments etc.) via phone at
(707) 987-3311.
Lynn Jordan is licensed to practice in California (license number 696262) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770911745.
Provider's Profile
| Full Name | Lynn Jordan |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 21337 Bush Street, Middletown, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lynn Jordan graduated from nursing school in 2015
NPI Data:
- NPI Number: 1770911745
- Provider Enumeration Date: 10/29/2013
- Last Update Date: 07/01/2015
Medicare PECOS Information:
- PECOS PAC ID: 7719292218
- Enrollment ID: I20150812008542
Medical Identifiers
Medical identifiers for Lynn Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770911745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 696262 (California) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 95002565 (California) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Permanente Medical Group Inc | 8921910225 | 8867 |
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. Lynn Jordan allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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| Entity Name | Adventist Health Clearlake Hospital Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124018031
PECOS PAC ID: 3072421197
Enrollment ID: O20041112000573 |
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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. Lynn Jordan 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 |
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Lynn Jordan, RN, MSN, FNP
21337 Bush Street,
Middletown, CA 95461
Ph: (707) 987-3311 | Lynn Jordan, RN, MSN, FNP
21337 Bush Street,
Middletown, CA 95461
Ph: (707) 987-3311 |
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