Jordan E Stephens, FNP-BC is a medicare enrolled "Nurse Practitioner" in Redwood Valley, California. Her current practice location is
8501 West Rd, Redwood Valley, California. You can reach out to her office (for appointments etc.) via phone at
(707) 485-6900.
Jordan E Stephens is licensed to practice in California (license number 23112) 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 1013284041.
Provider's Profile
| Full Name | Jordan E Stephens |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 8501 West Rd, Redwood Valley, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013284041
- Provider Enumeration Date: 11/18/2011
- Last Update Date: 08/13/2013
Medicare PECOS Information:
- PECOS PAC ID: 1850699190
- Enrollment ID: I20160419002917
Medical Identifiers
Medical identifiers for Jordan E Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013284041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 797559 (California) | Secondary |
| 163WC1500X | Registered Nurse - Community Health | 80660 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 23112 (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. Jordan E Stephens allows following entities to bill medicare on her behalf.
| Entity Name | Pacific Redwood Medical Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295924470
PECOS PAC ID: 6204913767
Enrollment ID: O20080408000421 |
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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 E Stephens 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 E Stephens, FNP-BC
429 Truckee Pl, False,
Woodland, CA 95695-5454
Ph: (530) 220-3180 | Jordan E Stephens, FNP-BC
8501 West Rd,
Redwood Valley, CA 95470-9583
Ph: (707) 485-6900 |
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