Camille Jordan, APRN - Medicare Nurse Practitioner in Hopkinsville, KY

Camille Jordan, APRN is a medicare enrolled "Nurse Practitioner - Family" in Hopkinsville, Kentucky. Her current practice location is 422 Irish Cir, Hopkinsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (000) 000-0000.

Camille Jordan is licensed to practice in Kentucky (license number 3009070) 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 1972909570.

Contact Information

Camille Jordan, APRN
422 Irish Cir,
Hopkinsville, KY 42240-3869
(000) 000-0000
Not Available

Map and Direction




Provider's Profile

Full NameCamille Jordan
GenderFemale
SpecialityNurse Practitioner - Family
Location422 Irish Cir, Hopkinsville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972909570
  • Provider Enumeration Date: 11/08/2014
  • Last Update Date: 10/08/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0840502233
  • Enrollment ID: I20150626000662

Medical Identifiers

Medical identifiers for Camille Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972909570NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3009070 (Kentucky)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. Camille Jordan allows following entities to bill medicare on her behalf.
Entity NameTrigg County Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538218680
PECOS PAC ID: 5193620805
Enrollment ID: O20031205000118
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20090715000150

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. Camille 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 AddressPractice Location Address
Camille Jordan, APRN
422 Irish Cir,
Hopkinsville, KY 42240-3869

Ph: () -
Camille Jordan, APRN
422 Irish Cir,
Hopkinsville, KY 42240-3869

Ph: (000) 000-0000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.