Jordyn Deborah Bethea, PA-C in Baltimore, MD - Medicare Physician Assistant

Jordyn Deborah Bethea, PA-C is a medicare enrolled "Physician Assistant - Medical" in Baltimore, Maryland. Her current practice location is 3001 S Hanover St Ste 216a, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 350-2106.

Jordyn Deborah Bethea is licensed to practice in Maryland (license number C0007175) 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 1265872105.

Contact Information

	Jordyn Deborah Bethea, PA-C
	3001 S Hanover St Ste 216a, Baltimore, MD 21225-1233
	(410) 350-2106
	Not Available

Map and Direction

Provider's Profile

Full Name	Jordyn Deborah Bethea
Gender	Female
Speciality	Physician Assistant - Medical
Location	3001 S Hanover St Ste 216a, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265872105
Provider Enumeration Date: 06/25/2013
Last Update Date: 10/10/2019

Medicare PECOS Information:

PECOS PAC ID: 2264658764
Enrollment ID: I20161201000497

Medical Identifiers

Medical identifiers for Jordyn Deborah Bethea such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265872105	NPI	-	NPPES
018266800	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	C0007175 (Maryland)	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. Jordyn Deborah Bethea 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
Jordyn Deborah Bethea, PA-C 414 Light St Unit 4201, Baltimore, MD 21202-1347 Ph: (732) 310-8214	Jordyn Deborah Bethea, PA-C 3001 S Hanover St Ste 216a, Baltimore, MD 21225-1233 Ph: (410) 350-2106

Reviews and Comments

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Jordyn Deborah Bethea, PA-C - Medicare Physician Assistant in Baltimore, MD