Kelsey Jean Jordan, MA is a medicare enrolled "Marriage & Family Therapist" provider in Columbus, Nebraska. Her current practice location is
3005 19th St, Suite 700, Columbus, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 606-3084.
Kelsey Jean Jordan is licensed to practice in Nebraska (license number 11142) 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 1114453073.
Healthcare Provider's Profile
Full Name | Kelsey Jean Jordan |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 3005 19th St, Columbus, Nebraska |
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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: 1114453073
- Provider Enumeration Date: 05/11/2017
- Last Update Date: 05/11/2017
Medicare PECOS Information:
- PECOS PAC ID: 9436507183
- Enrollment ID: I20231120000581
Medical Identifiers
Medical identifiers for Kelsey Jean Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114453073 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 11142 (Nebraska) | 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. Kelsey Jean Jordan allows following entities to bill medicare on her behalf.
Entity Name | Blue Valley Behavioral Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316019508 PECOS PAC ID: 3971403668 Enrollment ID: O20040109000728 |
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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. Kelsey Jean 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 |
Kelsey Jean Jordan, MA 3005 19th St, Suite 700, Columbus, NE 68601-4248 Ph: (402) 606-3084 | Kelsey Jean Jordan, MA 3005 19th St, Suite 700, Columbus, NE 68601-4248 Ph: (402) 606-3084 |
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