Thomas W Jordan, is a medicare enrolled "Marriage & Family Therapist" provider in Hayward, Wisconsin. His current practice location is
10592 Main St, Hayward, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 934-1381.
Thomas W Jordan is licensed to practice in Wisconsin (license number 1085-124) 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 1316367048.
Healthcare Provider's Profile
Full Name | Thomas W Jordan |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 10592 Main St, Hayward, Wisconsin |
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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: 1316367048
- Provider Enumeration Date: 04/21/2014
- Last Update Date: 09/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385097765
- Enrollment ID: I20240201002437
Medical Identifiers
Medical identifiers for Thomas W Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316367048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 1085-124 (Wisconsin) | 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. Thomas W Jordan allows following entities to bill medicare on his behalf.
Entity Name | Superior Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225583883 PECOS PAC ID: 1456736065 Enrollment ID: O20220919001410 |
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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. Thomas W 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 |
Thomas W Jordan, 16402 W Rainbow Rd, Hayward, WI 54843-2527 Ph: (651) 808-3926 | Thomas W Jordan, 10592 Main St, Hayward, WI 54843-6658 Ph: (715) 934-1381 |
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