Amanda S Jordan, PSYD in Keller, TX - Medicare Psychologist Provider

Amanda S Jordan, PSYD is a medicare enrolled "Psychologist - Counseling" provider in Keller, Texas. Her current practice location is 10601 N Riverside Dr, Keller, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 347-2600.

Amanda S Jordan is licensed to practice in Texas (license number 37404) 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 1194270884.

Contact Information

	Amanda S Jordan, PSYD
	10601 N Riverside Dr, Keller, TX 76244-2118
	(817) 347-2600
	(817) 347-2610

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda S Jordan
Gender	Female
Speciality	Psychologist - Counseling
Location	10601 N Riverside Dr, Keller, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194270884
Provider Enumeration Date: 08/23/2016
Last Update Date: 05/28/2024

Medicare PECOS Information:

PECOS PAC ID: 4880115583
Enrollment ID: I20250311001372

Medical Identifiers

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

Identifier	Type	State	Issuer
1194270884	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	37404 (Texas)	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. Amanda S Jordan allows following entities to bill medicare on her behalf.

Entity Name	Cook Children's Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710702907 PECOS PAC ID: 5597757740 Enrollment ID: O20180709002867

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. Amanda S 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
Amanda S Jordan, PSYD Po Box 99213, Fort Worth, TX 76199-0213 Ph: (828) 851-8606	Amanda S Jordan, PSYD 10601 N Riverside Dr, Keller, TX 76244-2118 Ph: (817) 347-2600

Reviews and Comments

Psychologist in Keller, TX

Dr. Marylyn Christine Sines, PH.D., PA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1858 Keller Pkwy Ste D, Keller, TX 76248 Phone: 972-916-0099 Fax: 817-431-5355
Dr. Scott Owen Hickman, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1664 Keller Pkwy Ste 103, Keller, TX 76248 Phone: 817-253-4686
Dr. Daniel Kim, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3500 Oliver Dr, Keller, TX 76248 Phone: 682-438-3575
Dr. Toni Lombardi, PSY-D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1012 Spanish Trail, Step By Step Communications, Keller, TX 76262 Phone: 817-996-3544 Fax: 817-506-8848
Jaqui Otto, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1664 Keller Parkway Ste 102, Keller, TX 76248 Phone: 817-492-5105
Gina L Pearson, LLP, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8821 Davis Blvd # 310, Keller, TX 76248 Phone: 817-492-5105

Amanda S Jordan, PSYD - Medicare Psychologist in Keller, TX