Mrs Samantha M Jordan, PA-C, MMS is a medicare enrolled "Physician Assistant" physician in Colorado Springs, Colorado. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Rational Dermatology, Pc and her current practice location is
8580 Scarborough Dr, Suite 225, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 531-5400.
Mrs Samantha M Jordan is licensed to practice in Colorado (license number PA.0003956) 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 1982702239.
Physician's Profile
| Full Name | Mrs Samantha M Jordan |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 23 Years |
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| Location | 8580 Scarborough Dr, Colorado Springs, Colorado |
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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. |
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Medical Education and Training:
- Mrs Samantha M Jordan graduated from medical school in 2001
NPI Data:
- NPI Number: 1982702239
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 11/24/2014
Medicare PECOS Information:
- PECOS PAC ID: 7618093980
- Enrollment ID: I20141215000227
Medical Identifiers
Medical identifiers for Mrs Samantha M Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982702239 | NPI | - | NPPES |
| 2544 | Other | AZ | STATE LICENSE |
| 2544 | Other | | AZ STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 2544 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | PA.0003956 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Rational Dermatology, Pc | 4385775204 | 10 |
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. Mrs Samantha 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 |
|---|
Mrs Samantha M Jordan, PA-C, MMS
8580 Scarborough Dr, Suite 225,
Colorado Springs, CO 80920-7583
Ph: (719) 531-5400 | Mrs Samantha M Jordan, PA-C, MMS
8580 Scarborough Dr, Suite 225,
Colorado Springs, CO 80920-7583
Ph: (719) 531-5400 |
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