Jordan Shomaker, is a medicare enrolled "Counselor - Professional" provider in Gypsum, Colorado. Her current practice location is
1100 Buckhorn Valley Blvd Unit K101, Gypsum, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 253-4539.
Jordan Shomaker 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 1437894367.
Healthcare Provider's Profile
Full Name | Jordan Shomaker |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 1100 Buckhorn Valley Blvd Unit K101, Gypsum, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437894367
- Provider Enumeration Date: 05/04/2022
- Last Update Date: 05/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 5698208080
- Enrollment ID: I20241023003330
Medical Identifiers
Medical identifiers for Jordan Shomaker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437894367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (* (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 Shomaker allows following entities to bill medicare on her behalf.
Entity Name | Eagle Valley Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972267292 PECOS PAC ID: 6204297450 Enrollment ID: O20230803002737 |
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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 Shomaker 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 Shomaker, Po Box 6119, Eagle, CO 81631-6119 Ph: (303) 253-4539 | Jordan Shomaker, 1100 Buckhorn Valley Blvd Unit K101, Gypsum, CO 81637-5375 Ph: (303) 253-4539 |
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