Jeffery Jordan, LPC in Lawton, OK - Medicare Counselor Provider

Jeffery Jordan, LPC is a medicare enrolled "Counselor - Mental Health" provider in Lawton, Oklahoma. His current practice location is 2215 Nw Cache Rd, Ste 107, Lawton, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 351-9998.

Jeffery Jordan is licensed to practice in Oklahoma (license number 6819) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457702664.

Contact Information

	Jeffery Jordan, LPC
	2215 Nw Cache Rd, Ste 107, Lawton, OK 73505-5239
	(580) 351-9998
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffery Jordan
Gender	Male
Speciality	Counselor - Mental Health
Location	2215 Nw Cache Rd, Lawton, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457702664
Provider Enumeration Date: 06/29/2016
Last Update Date: 04/13/2022

Medicare PECOS Information:

PECOS PAC ID: 0547600686
Enrollment ID: I20240506004100

Medical Identifiers

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

Identifier	Type	State	Issuer
1457702664	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6819 (Oklahoma)	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. Jeffery Jordan allows following entities to bill medicare on his behalf.

Entity Name	Oklahoma Mental Health Council
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275574907 PECOS PAC ID: 3173514387 Enrollment ID: O20040518001034

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. Jeffery 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
Jeffery Jordan, LPC 6221 W Gore Blvd, Lawton, OK 73505-5836 Ph: (580) 351-9998	Jeffery Jordan, LPC 2215 Nw Cache Rd, Ste 107, Lawton, OK 73505-5239 Ph: (580) 351-9998

Reviews and Comments

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Jeffery Jordan, LPC - Medicare Counselor in Lawton, OK