Jordan Bolton, is a medicare enrolled "Marriage & Family Therapist" provider in Paris, Texas. Her current practice location is
1849 Lamar Ave Ste 160, Paris, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 715-0748.
Jordan Bolton is licensed to practice in Texas (license number 204081) 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 1235823501.
Healthcare Provider's Profile
Full Name | Jordan Bolton |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 1849 Lamar Ave Ste 160, Paris, Texas |
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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: 1235823501
- Provider Enumeration Date: 06/08/2023
- Last Update Date: 06/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133577711
- Enrollment ID: I20231120002101
Medical Identifiers
Medical identifiers for Jordan Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235823501 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 204081 (Texas) | 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 Bolton allows following entities to bill medicare on her behalf.
Entity Name | Cornerstone Counseling Service, L.l.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922353119 PECOS PAC ID: 5890042634 Enrollment ID: O20180724003964 |
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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 Bolton 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 Bolton, 1849 Lamar Ave Ste 160, Paris, TX 75460-1402 Ph: (903) 401-5311 | Jordan Bolton, 1849 Lamar Ave Ste 160, Paris, TX 75460-1402 Ph: (903) 715-0748 |
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