Jordan Elizabeth Dale Ireland, MFTI in Chino, CA - Medicare Marriage & Family Therapist Provider

Jordan Elizabeth Dale Ireland, MFTI is a medicare enrolled "Marriage & Family Therapist" provider in Chino, California. Her current practice location is 5353 G St, Chino, California. You can reach out to her office (for appointments etc.) via phone at (909) 590-3700.

Jordan Elizabeth Dale Ireland is licensed to practice in California (license number 148454) 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 1063910156.

Contact Information

	Jordan Elizabeth Dale Ireland, MFTI
	5353 G St, Chino, CA 91710-5250
	(909) 590-3700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Elizabeth Dale Ireland
Gender	Female
Speciality	Marriage & Family Therapist
Location	5353 G St, Chino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063910156
Provider Enumeration Date: 01/24/2018
Last Update Date: 10/11/2024

Medicare PECOS Information:

PECOS PAC ID: 7416481783
Enrollment ID: I20241108001159

Medical Identifiers

Medical identifiers for Jordan Elizabeth Dale Ireland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063910156	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	148454 (California)	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 Elizabeth Dale Ireland allows following entities to bill medicare on her behalf.

Entity Name	Cyti Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679172290 PECOS PAC ID: 4587012950 Enrollment ID: O20231122002919

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 Elizabeth Dale Ireland 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
Jordan Elizabeth Dale Ireland, MFTI 9825 Magnolia Ave Ste B, Riverside, CA 92503-3565 Ph: () -	Jordan Elizabeth Dale Ireland, MFTI 5353 G St, Chino, CA 91710-5250 Ph: (909) 590-3700

Reviews and Comments

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Jordan Elizabeth Dale Ireland, MFTI - Medicare Couples Therapy in Chino, CA