Jordan Gilland, is a medicare enrolled "Nurse Practitioner" in Depoe Bay, Oregon. Her current practice location is
531 N Highway 101 Ste A, Depoe Bay, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 765-3265.
Jordan Gilland is licensed to practice in Oregon (license number 10022974) 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 1831840693.
Provider's Profile
| Full Name | Jordan Gilland |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 531 N Highway 101 Ste A, Depoe Bay, Oregon |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1831840693
- Provider Enumeration Date: 01/13/2022
- Last Update Date: 10/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103297551
- Enrollment ID: I20230120002662
Medical Identifiers
Medical identifiers for Jordan Gilland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831840693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 257310 (Tennessee) | Secondary |
| 363L00000X | Nurse Practitioner | 10022974 (Oregon) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 33026 (Tennessee) | Secondary |
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 Gilland allows following entities to bill medicare on her behalf.
| Entity Name | The Little Clinic Of Tennessee Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1487848800
PECOS PAC ID: 4688762800
Enrollment ID: O20080326000339 |
|---|
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 Gilland 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 Gilland,
Po Box 1189,
Corvallis, OR 97339-1189
Ph: () - | Jordan Gilland,
531 N Highway 101 Ste A,
Depoe Bay, OR 97341-9572
Ph: (541) 765-3265 |
Reviews and Comments