Mr Jordan David Foster, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Palm Desert, California. His current practice location is
127 Romanza Ln, Palm Desert, California. You can reach out to his office (for appointments etc.) via phone at
(517) 256-3944.
Mr Jordan David Foster is licensed to practice in Indiana (license number 138955) 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 1508503509.
Provider's Profile
Full Name | Mr Jordan David Foster |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 127 Romanza Ln, Palm Desert, California |
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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: 1508503509
- Provider Enumeration Date: 05/19/2022
- Last Update Date: 08/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 8325419344
- Enrollment ID: I20230130000616
Medical Identifiers
Medical identifiers for Mr Jordan David Foster such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508503509 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 28252823A (Indiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 138955 (Indiana) | 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. Mr Jordan David Foster allows following entities to bill medicare on his behalf.
Entity Name | Mission Nursing Anesthesia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932571551 PECOS PAC ID: 9436459278 Enrollment ID: O20151130000657 |
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Entity Name | Coachella Valley Anesthesia A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013662048 PECOS PAC ID: 5698131969 Enrollment ID: O20230512000330 |
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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. Mr Jordan David Foster 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 |
Mr Jordan David Foster, RN 3108 Canterbury Blvd Apt 1, Fort Wayne, IN 46835-3228 Ph: (517) 256-3944 | Mr Jordan David Foster, RN 127 Romanza Ln, Palm Desert, CA 92211-0777 Ph: (517) 256-3944 |
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