Shaun Michelle Jordan, REGISTERED NURSE - Medicare Registered Nurse in Lynwood, CA

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Shaun Michelle Jordan, REGISTERED NURSE is a medicare enrolled "Registered Nurse - Obstetric, Inpatient" in Lynwood, California. Her current practice location is 3633 Martin Luther King Jr Blvd Ste 3, Lynwood, California. You can reach out to her office (for appointments etc.) via phone at (310) 763-3075.

Shaun Michelle Jordan is licensed to practice in California (license number RN417181) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245453372.

Contact Information

Shaun Michelle Jordan, REGISTERED NURSE
3633 Martin Luther King Jr Blvd Ste 3,
Lynwood, CA 90262-3510
(310) 763-3075
(310) 763-3084

Map and Direction




Provider's Profile

Full NameShaun Michelle Jordan
GenderFemale
SpecialityRegistered Nurse - Obstetric, Inpatient
Location3633 Martin Luther King Jr Blvd Ste 3, Lynwood, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245453372
  • Provider Enumeration Date: 04/10/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0648583856
  • Enrollment ID: I20150716003062

Medical Identifiers

Medical identifiers for Shaun Michelle Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245453372NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WX0003XRegistered Nurse - Obstetric, Inpatient RN417181 (California)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. Shaun Michelle Jordan allows following entities to bill medicare on her behalf.
Entity NameSt. John's Community Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073653630
PECOS PAC ID: 2961482690
Enrollment ID: O20040722001434

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. Shaun Michelle 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
Shaun Michelle Jordan, REGISTERED NURSE
19437 Tajauta Ave,
Carson, CA 90746-2748

Ph: (310) 638-1287		Shaun Michelle Jordan, REGISTERED NURSE
3633 Martin Luther King Jr Blvd Ste 3,
Lynwood, CA 90262-3510

Ph: (310) 763-3075

Reviews and Comments


Registered Nurse Nurses in Lynwood, CA

Nakia Renee Simon,
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Practice Location: 2640 Industry Way, Lynwood, CA 90262
Phone: 310-627-4525    
Nadezhda Davis,
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Anna Marie Bayya,
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Francisco Lopez Lim, RN
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Joanne Blair-randolph,
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Practice Location: 2640 Industry Way, Lynwood, CA 90262
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Claire Anne Vasquez,
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Medicare: Not Enrolled in Medicare
Practice Location: 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262
Phone: 310-632-0415    

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.