Jordan Earl, OD is a medicare enrolled "Optometrist" provider in Othello, Washington. He graduated from medical school in 2024 and has 1 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Columbia Basin Health Association and his current practice location is
1515 E Columbia St, Othello, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 488-5256.
Jordan Earl is licensed to practice in Washington (license number OD61571780) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396587200.
Healthcare Provider's Profile
| Full Name | Jordan Earl |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 1 Years |
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| Location | 1515 E Columbia St, Othello, Washington |
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| Accepts Medicare Assignments | Yes. He 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:
- Jordan Earl graduated from medical school in 2024
NPI Data:
- NPI Number: 1396587200
- Provider Enumeration Date: 06/11/2024
- Last Update Date: 06/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608312392
- Enrollment ID: I20240717005068
Medical Identifiers
Medical identifiers for Jordan Earl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396587200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OD61571780 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Columbia Basin Health Association | 4486564309 | 43 |
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 Earl allows following entities to bill medicare on his behalf.
| Provider Name | Columbia Basin Health Association |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1528316379
PECOS PAC ID: 4486564309
Enrollment ID: O20040209000250 |
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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. Jordan Earl 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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Jordan Earl, OD
1515 E Columbia St,
Othello, WA 99344-1846
Ph: (509) 488-5256 | Jordan Earl, OD
1515 E Columbia St,
Othello, WA 99344-1846
Ph: (509) 488-5256 |
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