Kathy Quarles Jordan, LCSW in Fayetteville, AR - Medicare Social Worker Provider

Kathy Quarles Jordan, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fayetteville, Arkansas. Her current practice location is 12 W. Sunbridge, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 750-2020.

Kathy Quarles Jordan is licensed to practice in Arkansas (license number 1573-C) 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 1881623197.

Contact Information

	Kathy Quarles Jordan, LCSW
	12 W. Sunbridge, Fayetteville, AR 72703
	(479) 750-2020
	(479) 750-8967

Map and Direction

Healthcare Provider's Profile

Full Name	Kathy Quarles Jordan
Gender	Female
Speciality	Social Worker - Clinical
Location	12 W. Sunbridge, Fayetteville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881623197
Provider Enumeration Date: 06/30/2006
Last Update Date: 05/31/2011

Medicare PECOS Information:

PECOS PAC ID: 2365417789
Enrollment ID: I20040830000673

Medical Identifiers

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

Identifier	Type	State	Issuer
1881623197	NPI	-	NPPES
5Y996	Other	AR	BLUE SHIELD PROVIDER #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	1573-C (Arkansas)	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. Kathy Quarles Jordan allows following entities to bill medicare on her behalf.

Entity Name	Kathy Q Jordan Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467734400 PECOS PAC ID: 4789065343 Enrollment ID: O20220714000761

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. Kathy Quarles 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
Kathy Quarles Jordan, LCSW P.o. Box 6430, Springdale, AR 72766 Ph: (479) 750-2020	Kathy Quarles Jordan, LCSW 12 W. Sunbridge, Fayetteville, AR 72703 Ph: (479) 750-2020

Reviews and Comments

Social Worker in Fayetteville, AR

Courtney Elaine Goodrum, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-443-5575
Ernestine Dickson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 S East Ave, Fayetteville, AR 72701 Phone: 501-313-1033
Nancy Lou Webb, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 W. Sunbridge, Fayetteville, AR 72703 Phone: 479-725-5224 Fax: 479-750-8967
Carla E Williams, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 905 W Eden Cir, Fayetteville, AR 72701 Phone: 479-409-6167 Fax: 479-587-8703
Jordan Hughes, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2354 N Montana Ave, Fayetteville, AR 72704 Phone: 501-690-3633
Kerri Vollmer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2592 N Gregg Ave, Suite 16, Fayetteville, AR 72703 Phone: 479-582-5565
Mary C Ferguson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 60 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-695-1240 Fax: 479-695-1242

Kathy Quarles Jordan, LCSW - Medicare Clinical Social Worker in Fayetteville, AR