Deadra Jordan, PMHNP-BC in Henderson, TX - Medicare Nurse Practitioner

Deadra Jordan, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Henderson, Texas. Her current practice location is 13102 Fm 839 S, Henderson, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 343-6861.

Deadra Jordan is licensed to practice in California (license number 95017044) 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 1366052805.

Contact Information

	Deadra Jordan, PMHNP-BC
	13102 Fm 839 S, Henderson, TX 75654-6278
	(903) 343-6861
	Not Available

Map and Direction

Provider's Profile

Full Name	Deadra Jordan
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	13102 Fm 839 S, Henderson, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366052805
Provider Enumeration Date: 08/07/2020
Last Update Date: 09/04/2024

Medicare PECOS Information:

PECOS PAC ID: 3072924612
Enrollment ID: I20201202002856

Medical Identifiers

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

Identifier	Type	State	Issuer
1366052805	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1014434 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95017044 (California)	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. Deadra Jordan allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549

Entity Name	Southtown Psychiatry Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346836681 PECOS PAC ID: 5698118842 Enrollment ID: O20240205003727

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. Deadra 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
Deadra Jordan, PMHNP-BC Po Box 96, Avila Beach, CA 93424-0096 Ph: (903) 343-6861	Deadra Jordan, PMHNP-BC 13102 Fm 839 S, Henderson, TX 75654-6278 Ph: (903) 343-6861

Reviews and Comments

Nurse Practitioner Nurses in Henderson, TX

Ms. Jennifer S Melendez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Zeid Blvd Bldg 2, Henderson, TX 75652 Phone: 903-615-5612
Mrs. Samantha Bowers Comeaux, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1115 Us Highway 259 S, Henderson, TX 75654 Phone: 903-392-8203
Mica Ladon Norman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Wilson St, Henderson, TX 75652 Phone: 903-655-6536 Fax: 903-657-6072
Tad Wayland Titlow, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 North High Street, Henderson, TX 75652 Phone: 903-392-8259 Fax: 903-392-8013
Mrs. Amberly Hopson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1115 U.s. 259, Henderson, TX 75654 Phone: 903-392-8203
Wendi Amber Wolfe, APRN, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1115 Us Highway 259 S, Henderson, TX 75654 Phone: 903-392-8203 Fax: 866-835-6516
Penny Blake, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Us Highway 79 S, Henderson, TX 75654 Phone: 903-717-3260

Deadra Jordan, PMHNP-BC - Medicare Nurse Practitioner in Henderson, TX