Brian Jordan, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Philadelphia, Pennsylvania. His current practice location is
10800 Knights Rd, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 612-5161.
Brian Jordan is licensed to practice in Pennsylvania (license number OT019502) 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 1356902308.
Physician's Profile
Full Name | Brian Jordan |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 10800 Knights Rd, Philadelphia, Pennsylvania |
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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: 1356902308
- Provider Enumeration Date: 06/20/2019
- Last Update Date: 08/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698109510
- Enrollment ID: I20240521000425
Medical Identifiers
Medical identifiers for Brian Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356902308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | OS021055 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | OT019502 (Pennsylvania) | 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. Brian Jordan allows following entities to bill medicare on his behalf.
Entity Name | Aria Health Physician Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750949806 PECOS PAC ID: 3577467018 Enrollment ID: O20040224000045 |
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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. Brian 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 |
Brian Jordan, 10800 Knights Rd, Philadelphia, PA 19114-4200 Ph: () - | Brian Jordan, 10800 Knights Rd, Philadelphia, PA 19114-4200 Ph: (215) 612-5161 |
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