Shaletra Jordan, - Medicare Certified Registered Nurse Anesthetist (crna) in Carthage, TX

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Shaletra Jordan, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Carthage, Texas. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Vascular Anesthesia Associates Pllc, Emergenchealth Pllc, Hunter And Hunter Anesthesia Consultants Llc, Texans Anesthesia Associates Pllc and her current practice location is 412 Overland St, Carthage, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 742-0197.

Shaletra Jordan is licensed to practice in Texas (license number AP127172) 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 1699164285.

Contact Information

Shaletra Jordan,
412 Overland St,
Carthage, TX 75633-1820
(903) 742-0197
Not Available

Map and Direction




Provider's Profile

Full NameShaletra Jordan
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location412 Overland St, Carthage, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shaletra Jordan graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1699164285
  • Provider Enumeration Date: 01/20/2015
  • Last Update Date: 01/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2062739832
  • Enrollment ID: I20150317000382

Medical Identifiers

Medical identifiers for Shaletra Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699164285NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered AP127172 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chi St Luke's Patients Medical CenterPasadena, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vascular Anesthesia Associates Pllc094153477014
Emergenchealth Pllc1355606641666
Hunter And Hunter Anesthesia Consultants Llc86282931074
Texans Anesthesia Associates Pllc8820171390200

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. Shaletra Jordan allows following entities to bill medicare on her behalf.
Entity NameUtmb Faculty Group Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942241146
PECOS PAC ID: 3375456734
Enrollment ID: O20031112000438
Entity NameTejas Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659383305
PECOS PAC ID: 4284615626
Enrollment ID: O20040601000304
Entity NameDigestive & Liver Center, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851385827
PECOS PAC ID: 1355307299
Enrollment ID: O20041202000851
Entity NameRukan Daccak, Md, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104951979
PECOS PAC ID: 7416991724
Enrollment ID: O20050617000188
Entity NameTexans Anesthesia Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275733982
PECOS PAC ID: 8820171390
Enrollment ID: O20080207000456
Entity NameGulf Coast Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396020236
PECOS PAC ID: 8527234517
Enrollment ID: O20111221000448
Entity NameHunter & Hunter Anesthesia Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003238395
PECOS PAC ID: 8628293107
Enrollment ID: O20140626001260
Entity NameTeleios Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871985929
PECOS PAC ID: 4688982580
Enrollment ID: O20160418001233
Entity NameEagle Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891151478
PECOS PAC ID: 5092083998
Enrollment ID: O20170619000733
Entity NameEmergenchealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467970897
PECOS PAC ID: 1355606641
Enrollment ID: O20180608000439
Entity NameVascular Anesthesia Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346706173
PECOS PAC ID: 0941534770
Enrollment ID: O20190627000775
Entity NameSouthern Group Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720628936
PECOS PAC ID: 6204266489
Enrollment ID: O20200501000875
Entity NameModern Anesthesia Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679345045
PECOS PAC ID: 0244682813
Enrollment ID: O20240118004058

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. Shaletra 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 AddressPractice Location Address
Shaletra Jordan,
412 Overland St,
Carthage, TX 75633-1820

Ph: (903) 742-0197		Shaletra Jordan,
412 Overland St,
Carthage, TX 75633-1820

Ph: (903) 742-0197

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Carthage, TX

John A Hernandez,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 409 Cottage Rd, Carthage, TX 75633
Phone: 903-693-3841    Fax: 903-694-4633

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.