Sara Jordan, MSN, APRN, AGACNP-BC is a medicare enrolled "Nurse Practitioner" physician in Worcester, Massachusetts. Her current practice location is
55 Lake Ave N, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 334-3728.
Sara Jordan is licensed to practice in Massachusetts (license number RN2336410) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245707348.
Physician's Profile
| Full Name | Sara Jordan |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 55 Lake Ave N, Worcester, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245707348
- Provider Enumeration Date: 10/26/2018
- Last Update Date: 11/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 5890025456
- Enrollment ID: I20190924002453
Medical Identifiers
Medical identifiers for Sara Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245707348 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 5011161 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | RN2336410 (Massachusetts) | 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. Sara Jordan allows following entities to bill medicare on her behalf.
| Entity Name | Duke University Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558392977
PECOS PAC ID: 2567372345
Enrollment ID: O20031201000521 |
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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. Sara 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 |
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Sara Jordan, MSN, APRN, AGACNP-BC
Po Box 415348,
Boston, MA 02241-5348
Ph: () - | Sara Jordan, MSN, APRN, AGACNP-BC
55 Lake Ave N,
Worcester, MA 01655-0002
Ph: (508) 334-3728 |
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