Jeremy Robert Jordan, CRNP in Philadelphia, PA

Jeremy Robert Jordan, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Philadelphia, Pennsylvania. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice University Of Penn-medical Group and his current practice location is 3400 Spruce St, 6 Silverstein, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 615-4949.

Jeremy Robert Jordan is licensed to practice in Pennsylvania (license number SP012464) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902140825.

Contact Information

	Jeremy Robert Jordan, CRNP
	3400 Spruce St, 6 Silverstein, Philadelphia, PA 19104-4206
	(215) 615-4949
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeremy Robert Jordan
Gender	Male
Speciality	Nurse Practitioner
Experience	12 Years
Location	3400 Spruce St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeremy Robert Jordan graduated from nursing school in 2012

NPI Data:

NPI Number: 1902140825
Provider Enumeration Date: 11/15/2012
Last Update Date: 11/07/2016

Medicare PECOS Information:

PECOS PAC ID: 5395997852
Enrollment ID: I20121207000074

Medical Identifiers

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

Identifier	Type	State	Issuer
1902140825	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	SP012464 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hospital Of Univ Of Pennsylvania	Philadelphia, PA	Hospital
Chester County Hospital	West chester, PA	Hospital
University Medical Center Of Princeton At Plainsboro	Plainsboro, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Penn-medical Group	6204730955	3051

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. Jeremy Robert Jordan allows following entities to bill medicare on his behalf.

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093725145 PECOS PAC ID: 6204730955 Enrollment ID: O20150221000256

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. Jeremy Robert 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
Jeremy Robert Jordan, CRNP 3400 Spruce St, 6 Silverstein, Philadelphia, PA 19104-4206 Ph: (215) 615-4949	Jeremy Robert Jordan, CRNP 3400 Spruce St, 6 Silverstein, Philadelphia, PA 19104-4206 Ph: (215) 615-4949

Reviews and Comments

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Jeremy Robert Jordan, CRNP - Medicare Nurse Practitioner in Philadelphia, PA