Lisa Ellen Jordan, LCPC in Deerfield, IL - Medicare Counselor Provider

Lisa Ellen Jordan, LCPC is a medicare enrolled "Counselor - Professional" provider in Deerfield, Illinois. Her current practice location is 420 Lake Cook Rd, Suite 121, Deerfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 668-4295.

Lisa Ellen Jordan is licensed to practice in Illinois (license number 180010147) 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 1770943987.

Contact Information

	Lisa Ellen Jordan, LCPC
	420 Lake Cook Rd, Suite 121, Deerfield, IL 60015-5646
	(847) 668-4295
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Ellen Jordan
Gender	Female
Speciality	Counselor - Professional
Location	420 Lake Cook Rd, Deerfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770943987
Provider Enumeration Date: 03/01/2016
Last Update Date: 05/29/2016

Medicare PECOS Information:

PECOS PAC ID: 4789023185
Enrollment ID: I20240418001288

Medical Identifiers

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

Identifier	Type	State	Issuer
1770943987	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180010147 (Illinois)	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. Lisa Ellen Jordan allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

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. Lisa Ellen 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
Lisa Ellen Jordan, LCPC 2139 Maple Ave, Northbrook, IL 60062-5205 Ph: (847) 638-2419	Lisa Ellen Jordan, LCPC 420 Lake Cook Rd, Suite 121, Deerfield, IL 60015-5646 Ph: (847) 668-4295

Reviews and Comments

Counselor in Deerfield, IL

Ms. Maura Jean Mooney, LCSW, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 49 S Waukegan Rd, Suite 200, Deerfield, IL 60015 Phone: 847-400-8416
Norine Freedman, M.A. , L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 929 Fountain View Dr, Deerfield, IL 60015 Phone: 847-291-1900 Fax: 847-267-8383
Karolina Kozakiewicz, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Lake Cook Rd Ste A203, Deerfield, IL 60015 Phone: 224-228-8834
Sarita Johnson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 747 Lake Cook Rd, Suite 207e, Deerfield, IL 60015 Phone: 847-205-9760 Fax: 847-205-9780
Branden Charles Hidalgo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Lake Cook Rd Ste 200, Deerfield, IL 60015 Phone: 847-607-9662 Fax: 866-208-7391
Ms. Linda B. Kroll, LINDA KROLL Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Lake Cook Rd, 217, Deerfield, IL 60015 Phone: 847-914-0560
Katherine Barry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Lake Cook Rd Ste 200, Deerfield, IL 60015 Phone: 847-607-9662

Lisa Ellen Jordan, LCPC - Medicare Counselor in Deerfield, IL