Laura Jordan, DO is a medicare enrolled "Dermatology" physician in Port Clinton, Ohio. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2015 and has 9 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Dermatologists Of Southwestern Ohio, Llc and her current practice location is
615 Fulton St Ste 300, Port Clinton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 626-6700.
Laura Jordan is licensed to practice in Ohio (license number 34.016775) 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 1861873697.
Physician's Profile
Full Name | Laura Jordan |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 9 Years |
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Location | 615 Fulton St Ste 300, Port Clinton, Ohio |
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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:
- Laura Jordan attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2015
NPI Data:
- NPI Number: 1861873697
- Provider Enumeration Date: 06/17/2015
- Last Update Date: 06/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991004988
- Enrollment ID: I20230928000792
Medical Identifiers
Medical identifiers for Laura Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861873697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 34.016775 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Dermatologists Of Southwestern Ohio, Llc | 7113973041 | 84 |
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. Laura Jordan allows following entities to bill medicare on her behalf.
Entity Name | Dermatologists Of Southwestern Ohio, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801819883 PECOS PAC ID: 7113973041 Enrollment ID: O20050323001436 |
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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. Laura 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 |
Laura Jordan, DO 615 Fulton St Ste 300, Port Clinton, OH 43452-2001 Ph: (419) 626-6700 | Laura Jordan, DO 615 Fulton St Ste 300, Port Clinton, OH 43452-2001 Ph: (419) 626-6700 |
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