Jerome Jordan Sr, CNP - Medicare Nurse Practitioner in Lorain, OH

Jerome Jordan Sr, CNP is a medicare enrolled "Nurse Practitioner - Family" in Lorain, Ohio. His current practice location is 1205 Broadway, Lorain, Ohio. You can reach out to his office (for appointments etc.) via phone at (769) 610-2804.

Jerome Jordan Sr is licensed to practice in Ohio (license number CNP.0035744) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992560809.

Contact Information

Jerome Jordan Sr, CNP
1205 Broadway,
Lorain, OH 44052-3409
(769) 610-2804
Not Available

Map and Direction




Provider's Profile

Full NameJerome Jordan Sr
GenderMale
SpecialityNurse Practitioner - Family
Location1205 Broadway, Lorain, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992560809
  • Provider Enumeration Date: 02/20/2024
  • Last Update Date: 04/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0345688669
  • Enrollment ID: I20240405001894

Medical Identifiers

Medical identifiers for Jerome Jordan Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992560809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family CNP.0035744 (Ohio)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. Jerome Jordan Sr allows following entities to bill medicare on his behalf.
Entity NameLorain County Health & Dentistry
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215194527
PECOS PAC ID: 9234047853
Enrollment ID: O20031105000774

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. Jerome Jordan Sr 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
Jerome Jordan Sr, CNP
12303 Cedar Rd Apt 135,
Cleveland Heights, OH 44106-3174

Ph: (769) 610-2804
Jerome Jordan Sr, CNP
1205 Broadway,
Lorain, OH 44052-3409

Ph: (769) 610-2804

Reviews and Comments


Nurse Practitioner Nurses in Lorain, OH

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Phone: 440-222-4003    Fax: 440-960-4922
Ms. Kimberly Jean Bundridge, CNP
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Phone: 440-934-1458    Fax: 440-960-4922
Olabisi Alabi,
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Medicare: Not Enrolled in Medicare
Practice Location: 6100 W Meadow Farm Ln, Lorain, OH 44053
Phone: 440-506-9961    
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Practice Location: 3700 Kolbe Rd, Lorain, OH 44053
Phone: 440-960-4000    
Kimberly Michelle Gilbert, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 6140 S Broadway, Lorain, OH 44053
Phone: 440-233-5552    Fax: 440-204-4383
Ms. Ann Lise Scarbrough, NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 3288 Oberlin Ave, Lorain, OH 44053
Phone: 866-389-2727    

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.