Alta Jordan, AGACNP in Columbia, SC - Medicare Nurse Practitioner

Alta Jordan, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Columbia, South Carolina. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Musc Community Physicians and her current practice location is 1655 Bernardin Ave Ste 220, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 409-7170.

Alta Jordan is licensed to practice in South Carolina (license number 20190) 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 1457702144.

Contact Information

	Alta Jordan, AGACNP
	1655 Bernardin Ave Ste 220, Columbia, SC 29204-2044
	(803) 409-7170
	(803) 409-7175

Map and Direction

Provider's Profile

Full Name	Alta Jordan
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	1655 Bernardin Ave Ste 220, Columbia, South Carolina
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:

Alta Jordan graduated from nursing school in 2015

NPI Data:

NPI Number: 1457702144
Provider Enumeration Date: 06/24/2016
Last Update Date: 08/25/2021

Medicare PECOS Information:

PECOS PAC ID: 7214225036
Enrollment ID: I20161011002632

Medical Identifiers

Medical identifiers for Alta Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457702144	NPI	-	NPPES
NP4091	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	20190 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Health	Columbia, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Musc Community Physicians	6507260668	793

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. Alta Jordan allows following entities to bill medicare on her behalf.

Entity Name	Providence Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285253336 PECOS PAC ID: 9638475627 Enrollment ID: O20160328001916

Entity Name	Providence Group Practices Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396192001 PECOS PAC ID: 2668768276 Enrollment ID: O20160908000669

Entity Name	Musc Community Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388

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. Alta 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
Alta Jordan, AGACNP Po Box 935722, Atlanta, GA 31193-5722 Ph: (843) 792-6200	Alta Jordan, AGACNP 1655 Bernardin Ave Ste 220, Columbia, SC 29204-2044 Ph: (803) 409-7170

Reviews and Comments

Nurse Practitioner Nurses in Columbia, SC

Mr. Joseph Crawford Iii, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 Richland Medical Park Dr Ste 300, Columbia, SC 29203 Phone: 803-256-6511
Richard Hall Iii, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-6095 Fax: 803-758-0120
Latonya Brailsford, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 142 Whispering Pines Cir, Columbia, SC 29205 Phone: 803-351-9405 Fax: 803-219-3836
Laketa D Riley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909
Jenny O'neill, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2801 Devine St Ste 101, Columbia, SC 29205 Phone: 803-457-8125 Fax: 803-457-8129
Sarah Elizabeth Wilson, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203 Phone: 803-434-3950 Fax: 803-434-3496
Miss Karen Mccain, NURSE PRACTITONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909

Alta Jordan, AGACNP - Medicare Nurse Practitioner in Columbia, SC