Jordan Johnson, M ED CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Fox Point, Wisconsin. Her current practice location is
8221 N Mohawk Rd, Fox Point, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(815) 871-9570.
Jordan Johnson is licensed to practice in * (Not Available) (license number ) 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 1710399423.
Healthcare Provider's Profile
| Full Name | Jordan Johnson |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 8221 N Mohawk Rd, Fox Point, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710399423
- Provider Enumeration Date: 05/29/2014
- Last Update Date: 05/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072979475
- Enrollment ID: I20230509001980
Medical Identifiers
Medical identifiers for Jordan Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710399423 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | 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. Jordan Johnson allows following entities to bill medicare on her behalf.
| Provider Name | Paxxon Healthcare Services Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003174087
PECOS PAC ID: 8325959554
Enrollment ID: O20130917000750 |
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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 Johnson 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 Johnson, M ED CCC-SLP
1905 N Water St Apt 305,
Milwaukee, WI 53202-1589
Ph: () - | Jordan Johnson, M ED CCC-SLP
8221 N Mohawk Rd,
Fox Point, WI 53217-2725
Ph: (815) 871-9570 |
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