Jordan Smith, - Medicare Family Medicine in Hayward, WI

  1. Home
  2. Family Medicine
  3. WI
  4. Hayward
Jordan Smith, is a medicare enrolled "Family Medicine" physician in Hayward, Wisconsin. His current practice location is 11040 N State Rd 77, Hayward, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 934-4910.

Jordan Smith is licensed to practice in Wisconsin (license number 82812-20) 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 1346866357.

Contact Information

Jordan Smith,
11040 N State Rd 77,
Hayward, WI 54843
(715) 934-4910
(316) 665-6082

Map and Direction




Physician's Profile

Full NameJordan Smith
GenderMale
SpecialityFamily Medicine
Location11040 N State Rd 77, Hayward, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346866357
  • Provider Enumeration Date: 06/25/2020
  • Last Update Date: 09/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4688099864
  • Enrollment ID: I20220907001267

Medical Identifiers

Medical identifiers for Jordan Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346866357NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 82812-20 (Wisconsin)Secondary
207Q00000XFamily Medicine 82812-20 (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. Jordan Smith allows following entities to bill medicare on his behalf.
Entity NameAscension Via Christi Hospitals Wichita Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871589333
PECOS PAC ID: 5799696944
Enrollment ID: O20031118000404
Entity NameGreat Plains Of Sabetha Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568491033
PECOS PAC ID: 5698676146
Enrollment ID: O20041215000613

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 Smith 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 AddressPractice Location Address
Jordan Smith,
11040 N State Rd 77,
Hayward, WI 54843

Ph: (715) 934-4910		Jordan Smith,
11040 N State Rd 77,
Hayward, WI 54843

Ph: (715) 934-4910

Reviews and Comments


Family Medicine Doctors in Hayward, WI

Matthew James Luedke,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11134 N Hwy 77, Hayward, WI 54843
Phone: 715-634-5505    Fax: 715-634-5558
Vicentiu Andrei,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11134 N Hwy 77, Hayward, WI 54843
Phone: 715-634-5505    
Katherine Matthews Eichten, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 11040 N State Road 77, Hayward, WI 54843
Phone: 715-934-4321    
Sabrina Ann Dunlap, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11040 N State Rd 77, Hayward, WI 54843
Phone: 715-934-4910    Fax: 715-934-4620
Harry Douglas Malcolm,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13380 W Trepania Rd, Hayward, WI 54843
Phone: 715-638-5100    Fax: 715-634-6107
John Robert Mckevett,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11134 N Hwy 77, Hayward, WI 54843
Phone: 715-634-5505    Fax: 715-634-5558
Dr. Mary Cord Mason, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 13380 W Trepania Rd, Hayward, WI 54843
Phone: 715-638-5101    Fax: 715-634-1021

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.