Tammara Ann Jordan, MS,CCC-SLP in Hattiesburg, MS - Medicare Speech-Language Pathologist Provider

Tammara Ann Jordan, MS,CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Hattiesburg, Mississippi. Her current practice location is 102 Medical Park, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 261-5159.

Tammara Ann Jordan is licensed to practice in Mississippi (license number S2203) 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 1104979731.

Contact Information

	Tammara Ann Jordan, MS,CCC-SLP
	102 Medical Park, Hattiesburg, MS 39401
	(601) 261-5159
	(601) 545-1740

Map and Direction

Healthcare Provider's Profile

Full Name	Tammara Ann Jordan
Gender	Female
Speciality	Speech-language Pathologist
Location	102 Medical Park, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104979731
Provider Enumeration Date: 01/18/2007
Last Update Date: 08/24/2020

Medicare PECOS Information:

PECOS PAC ID: 3274780036
Enrollment ID: I20120829000732

Medical Identifiers

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

Identifier	Type	State	Issuer
1104979731	NPI	-	NPPES
7346349	Other	MS	AETNA
0800517	Other	MS	CIGNA
1772892	Medicaid	MS
731632210	Other	MS	MS CHIP
6061226	Other	MS	HEALTHSPRINGS
3504919	Other	MS	UNITED HEALTHCARE
731632210	Other	MS	UNITED HEALTH CARE
7345349	Other	MS	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	S2203 (Mississippi)	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. Tammara Ann Jordan allows following entities to bill medicare on her behalf.

Provider Name	Hattiesburg Clinic Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

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. Tammara Ann 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
Tammara Ann Jordan, MS,CCC-SLP 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 579-3310	Tammara Ann Jordan, MS,CCC-SLP 102 Medical Park, Hattiesburg, MS 39401 Ph: (601) 261-5159

Reviews and Comments

Speech-Language Pathologist in Hattiesburg, MS

Kelli Banta, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4805 W 4th St, Hattiesburg, MS 39402 Phone: 601-270-6968
Mrs. Susanna Utz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 118 College Dr # 10035, Hattiesburg, MS 39406 Phone: 601-266-5223
Mrs. Daphne Cornett, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 118 College Dr, Hattiesburg, MS 39406 Phone: 601-266-5223 Fax: 601-266-6763
Dr. Jennifer Salgo Corie, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 822 Robin Cir, Hattiesburg, MS 39402 Phone: 601-818-3501
Mrs. Jennifer Farragut Martin, MSCCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 137 Beechwood Dr, Hattiesburg, MS 39402 Phone: 601-466-0876 Fax: 601-579-0283
Laela Kurdali-ricks, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1305 Country Club Rd, Hattiesburg, MS 39401 Phone: 601-544-4444
Mrs. Kimberley Royal Gibson, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4906 Old Highway 11, Ste 8, Hattiesburg, MS 39402 Phone: 601-268-9877 Fax: 601-268-9609

Tammara Ann Jordan, MS,CCC-SLP - Medicare Speech-Language Pathologist in Hattiesburg, MS