Heather Jordan, in Kilgore, TX - Medicare Nurse Practitioner

Heather Jordan, is a medicare enrolled "Nurse Practitioner - Family" in Kilgore, Texas. Her current practice location is 1600 S Henderson Blvd, Kilgore, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 215-3149.

Heather Jordan is licensed to practice in Texas (license number 1130883) 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 1104609965.

Contact Information

	Heather Jordan,
	1600 S Henderson Blvd, Kilgore, TX 75662-3518
	(903) 215-3149
	Not Available

Map and Direction

Provider's Profile

Full Name	Heather Jordan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1600 S Henderson Blvd, Kilgore, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104609965
Provider Enumeration Date: 08/16/2023
Last Update Date: 08/16/2023

Medicare PECOS Information:

PECOS PAC ID: 2062876246
Enrollment ID: I20230907001400

Medical Identifiers

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

Identifier	Type	State	Issuer
1104609965	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1130883 (Texas)	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. Heather Jordan allows following entities to bill medicare on her behalf.

Entity Name	Wound Management Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972150084 PECOS PAC ID: 5193056364 Enrollment ID: O20200610001466

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. Heather 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
Heather Jordan, 582 County Road 307, De Berry, TX 75639-3020 Ph: () -	Heather Jordan, 1600 S Henderson Blvd, Kilgore, TX 75662-3518 Ph: (903) 215-3149

Reviews and Comments

Nurse Practitioner Nurses in Kilgore, TX

Holly Kristina Royer, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-521-4609
Michelle Britven, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 S Henderson Blvd, Kilgore, TX 75662 Phone: 651-399-1235 Fax: 903-367-0300
Jolyn Kaye Hawkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1016 N Kilgore St, Kilgore, TX 75662 Phone: 903-522-4199 Fax: 903-522-4015
Tracey Lynn Bruner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-475-3474 Fax: 903-367-0300
Mr. Christopher Kirk Bailey, APRN-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110 Fax: 903-984-3783
Valerie Michelle Vaughn-smith, APRN,MSN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3105 Rockbrook Dr, Kilgore, TX 75662 Phone: 903-812-0684

Heather Jordan, - Medicare Nurse Practitioner in Kilgore, TX