Marshall C Jordan, MD is a medicare enrolled "Surgery" physician in Espanola, New Mexico. His current practice location is
Espanola Multi-specialty Clinic, 1010 Spruce St, Espanola, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 367-0340.
Marshall C Jordan is licensed to practice in New Mexico (license number MD2006-0824) 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 1982656880.
Physician's Profile
Full Name | Marshall C Jordan |
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Gender | Male |
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Speciality | Surgery |
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Location | Espanola Multi-specialty Clinic, Espanola, New Mexico |
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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: 1982656880
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 08/14/2008
Medicare PECOS Information:
- PECOS PAC ID: 9436105848
- Enrollment ID: I20070413000311
Medical Identifiers
Medical identifiers for Marshall C Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982656880 | NPI | - | NPPES |
29377056 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | MD2006-0824 (New Mexico) | 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. Marshall C Jordan allows following entities to bill medicare on his behalf.
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
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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. Marshall C 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 |
Marshall C Jordan, MD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-5356 | Marshall C Jordan, MD Espanola Multi-specialty Clinic, 1010 Spruce St, Espanola, NM 87532 Ph: (505) 367-0340 |
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