Jordan Tyler G Javellana, PA-C in Costa Mesa, CA

Jordan Tyler G Javellana, PA-C is a medicare enrolled "Physician Assistant" in Costa Mesa, California. His current practice location is 139 Lisa Ln Apt C, Costa Mesa, California. You can reach out to his office (for appointments etc.) via phone at (714) 686-1431.

Jordan Tyler G Javellana is licensed to practice in California (license number PA63252) 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 1679359665.

Contact Information

	Jordan Tyler G Javellana, PA-C
	139 Lisa Ln Apt C, Costa Mesa, CA 92627-9468
	(714) 686-1431
	Not Available

Map and Direction

Provider's Profile

Full Name	Jordan Tyler G Javellana
Gender	Male
Speciality	Physician Assistant
Location	139 Lisa Ln Apt C, Costa Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679359665
Provider Enumeration Date: 09/05/2023
Last Update Date: 09/05/2023

Medicare PECOS Information:

PECOS PAC ID: 6608228689
Enrollment ID: I20240115001702

Medical Identifiers

Medical identifiers for Jordan Tyler G Javellana such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679359665	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA63252 (California)	Primary

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 Tyler G Javellana 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 Tyler G Javellana, PA-C 139 Lisa Ln Apt C, Costa Mesa, CA 92627-9468 Ph: (714) 686-1431	Jordan Tyler G Javellana, PA-C 139 Lisa Ln Apt C, Costa Mesa, CA 92627-9468 Ph: (714) 686-1431

Reviews and Comments

Physician Assistant Nurses in Costa Mesa, CA

Jeremy Elkins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1550 Superior Ave, Costa Mesa, CA 92627 Phone: 949-650-0186 Fax: 949-650-6976
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Meagan Alexandra Allard, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 655 Baker St Apt D206, Costa Mesa, CA 92626 Phone: 603-496-7911
Ms. Christina Thi Nguyen, PA - C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1550 Superior Ave, Costa Mesa, CA 92627 Phone: 949-270-2100
Milinda Chidera Estrada, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3151 Airway Ave # R, Costa Mesa, CA 92626 Phone: 949-288-5377
Mr. Robert Anthony Chavarin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2801 Bristol St, Costa Mesa, CA 92626 Phone: 949-515-7300
Tiffany Le, Physician Assistant Medicare: Medicare Enrolled Practice Location: 700 W 19th St, Costa Mesa, CA 92627 Phone: 949-645-9334 Fax: 949-645-9378

Jordan Tyler G Javellana, PA-C - Medicare Physician Assistant in Costa Mesa, CA