Kelsey Jordan, OD in Boston, MA - Medicare Optometrist Provider

Kelsey Jordan, OD is a medicare enrolled "Optometrist" provider in Boston, Massachusetts. Her current practice location is 150 S Huntington Ave, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (857) 364-6669.

Kelsey Jordan is licensed to practice in Massachusetts (license number 5239) 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 1619406154.

Contact Information

	Kelsey Jordan, OD
	150 S Huntington Ave, Boston, MA 02130-4817
	(857) 364-6669
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Jordan
Gender	Female
Speciality	Optometrist
Location	150 S Huntington Ave, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619406154
Provider Enumeration Date: 06/08/2017
Last Update Date: 06/15/2022

Medicare PECOS Information:

PECOS PAC ID: 6800145988
Enrollment ID: I20180822003277

Medical Identifiers

Medical identifiers for Kelsey Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619406154	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	0977 (New Hampshire)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
152W00000X	Optometrist	5239 (Massachusetts)	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. Kelsey Jordan allows following entities to bill medicare on her behalf.

Provider Name	Mary Hitchcock Memorial Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258

Provider Name	Dartmouth-hitchcock Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442

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. Kelsey 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
Kelsey Jordan, OD 150 S Huntington Ave, Boston, MA 02130 Ph: () -	Kelsey Jordan, OD 150 S Huntington Ave, Boston, MA 02130-4817 Ph: (857) 364-6669

Reviews and Comments

Optometrist in Boston, MA

Dr. Ying Zhou, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1341 Boylston St, Target Optical, Boston, MA 02215 Phone: 857-654-5912
Justine Pidgeon, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 400 Commonwealth Ave Ste 2, Boston, MA 02215 Phone: 617-426-0370
Dr. Brittney Jaye Mazza, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 930 Commonwealth Ave, Suite 2a, Boston, MA 02215 Phone: 617-262-2020
Boston Telehealth Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 424 Beacon St, Boston, MA 02115 Phone: 617-834-3245
Chukwuemeka Johnson Achonu, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 260 Tremont St, Boston, MA 02116 Phone: 617-636-4600
Ms. Ceida P Chan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 780 Albany St, Boston, MA 02118 Phone: 857-654-1000 Fax: 857-654-1100
Dr. Howard S Harrison, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 33 Broad St, Lobby, Boston, MA 02109 Phone: 617-742-7200 Fax: 617-742-7272

Kelsey Jordan, OD - Medicare Optometrist in Boston, MA