Jordan Allen, CRNP, RN in Philadelphia, PA - Medicare Nurse Practitioner

Jordan Allen, CRNP, RN is a medicare enrolled "Nurse Practitioner" in Philadelphia, Pennsylvania. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tidalhealth Specialty Care Llc and her current practice location is 1526 Lombard St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 546-5960.

Jordan Allen is licensed to practice in Pennsylvania (license number SP018302) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407363153.

Contact Information

	Jordan Allen, CRNP, RN
	1526 Lombard St, Philadelphia, PA 19146-1625
	(215) 546-5960
	Not Available

Map and Direction

Provider's Profile

Full Name	Jordan Allen
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	1526 Lombard St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jordan Allen graduated from nursing school in 2017

NPI Data:

NPI Number: 1407363153
Provider Enumeration Date: 01/03/2018
Last Update Date: 01/03/2018

Medicare PECOS Information:

PECOS PAC ID: 4880953553
Enrollment ID: I20190204001995

Medical Identifiers

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

Identifier	Type	State	Issuer
1407363153	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP018302 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Peninsula Regional Medical Center	Salisbury, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tidalhealth Specialty Care Llc	7113340845	192

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. Jordan Allen allows following entities to bill medicare on her behalf.

Entity Name	Privia Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040

Entity Name	Privia Care Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170619000055

Entity Name	Aps Corelife Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780209866 PECOS PAC ID: 3971926122 Enrollment ID: O20200707002862

Entity Name	Tidalhealth Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619504735 PECOS PAC ID: 7113340845 Enrollment ID: O20200714000286

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. Jordan Allen 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
Jordan Allen, CRNP, RN 1705 Lower Millstone Ln, Salisbury, MD 21801-7018 Ph: () -	Jordan Allen, CRNP, RN 1526 Lombard St, Philadelphia, PA 19146-1625 Ph: (215) 546-5960

Reviews and Comments

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Jordan Allen, CRNP, RN - Medicare Nurse Practitioner in Philadelphia, PA