Dr Staci M Jordan, MD in Overland Park, KS

Dr Staci M Jordan, MD is a medicare enrolled "Family Medicine" physician in Overland Park, Kansas. She went to University Of Missouri, Kansas City, School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Overland Park Surgical Specialties Llc and her current practice location is 11725 W 112th St, Overland Park, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 469-5579.

Dr Staci M Jordan is licensed to practice in Kansas (license number 0429110) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831185750.

Contact Information

	Dr Staci M Jordan, MD
	11725 W 112th St, Overland Park, KS 66210-2761
	(913) 469-5579
	(913) 338-1311

Map and Direction

Physician's Profile

Full Name	Dr Staci M Jordan
Gender	Female
Speciality	Family Practice
Experience	26 Years
Location	11725 W 112th St, Overland Park, Kansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Staci M Jordan attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 1998

NPI Data:

NPI Number: 1831185750
Provider Enumeration Date: 09/26/2005
Last Update Date: 01/14/2022

Medicare PECOS Information:

PECOS PAC ID: 2062543853
Enrollment ID: I20100622000829

Medical Identifiers

Medical identifiers for Dr Staci M Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831185750	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	0429110 (Kansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Overland Park Reg Med Ctr	Overland park, KS	Hospital
Adventhealth Shawnee Mission	Shawnee mission, KS	Hospital
Saint Luke's South Hospital	Overland park, KS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Overland Park Surgical Specialties Llc	9234318502	105

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. Dr Staci M Jordan allows following entities to bill medicare on her behalf.

Entity Name	Overland Park Surgical Specialties Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760798540 PECOS PAC ID: 9234318502 Enrollment ID: O20110119001046

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. Dr Staci M 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
Dr Staci M Jordan, MD Po Box 741331, Atlanta, GA 30374-1331 Ph: (913) 469-0503	Dr Staci M Jordan, MD 11725 W 112th St, Overland Park, KS 66210-2761 Ph: (913) 469-5579

Reviews and Comments

Family Medicine Doctors in Overland Park, KS

Chelsea Fair, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11725 W 112th St, Overland Park, KS 66210 Phone: 913-787-4008
Dr. John R Bernard, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12330 Metcalf Ave, Suite 400, Overland Park, KS 66213 Phone: 913-317-7990 Fax: 913-317-7018
Jason Christenson, Family Medicine Medicare: Medicare Enrolled Practice Location: 9840 W 87th St, Overland Park, KS 66212 Phone: 913-274-2112 Fax: 913-224-2547
Ngoc-lan Thi Nguyen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10600 Mastin St, Overland Park, KS 66212 Phone: 913-469-6447 Fax: 913-338-1311
Mina Soleimani, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5013 W 146th St, Overland Park, KS 66224 Phone: 816-908-2315
Patrick Gerard Mcalinney, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6355 W 110th St, Overland Park, KS 66211 Phone: 913-709-1424
Dr. Alan Mark Oliver, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 13849 Hadley St, Overland Park, KS 66223 Phone: 913-685-8031 Fax: 913-685-8031

Dr Staci M Jordan, MD - Medicare Family Practice in Overland Park, KS