Lourie M Jordan, PMHNP-BC in Atascadero, CA - Medicare Nurse Practitioner

Lourie M Jordan, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Atascadero, California. Her current practice location is 10333 El Camino Real, Atascadero, California. You can reach out to her office (for appointments etc.) via phone at (805) 468-2000.

Lourie M Jordan is licensed to practice in California (license number 95018952) 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 1396361515.

Contact Information

	Lourie M Jordan, PMHNP-BC
	10333 El Camino Real, Atascadero, CA 93422-5808
	(805) 468-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Lourie M Jordan
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	10333 El Camino Real, Atascadero, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396361515
Provider Enumeration Date: 06/23/2020
Last Update Date: 09/11/2023

Medicare PECOS Information:

PECOS PAC ID: 9234590191
Enrollment ID: I20230725003809

Medical Identifiers

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

Identifier	Type	State	Issuer
1396361515	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95018952 (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. Lourie M Jordan allows following entities to bill medicare on her behalf.

Entity Name	Memory Check Psychological Services, A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912184219 PECOS PAC ID: 7416856422 Enrollment ID: O20040107001021

Entity Name	Department Of State Hospitals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305

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. Lourie M Jordan 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
Lourie M Jordan, PMHNP-BC 8616 Portola Rd, Atascadero, CA 93422-5478 Ph: () -	Lourie M Jordan, PMHNP-BC 10333 El Camino Real, Atascadero, CA 93422-5808 Ph: (805) 468-2000

Reviews and Comments

Nurse Practitioner Nurses in Atascadero, CA

Gizella Maria Raymond, N.P., R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-3007
Mrs. Rannveig K Gunnarsson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000
Ms. Maria Guadalupe Rincon-brown, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000
Kelly Lynne Cash, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8280 Morro Rd, Atascadero, CA 93422 Phone: 805-464-2991
Marie Louise Tuohey-mote, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93423 Phone: 805-468-2000 Fax: 805-466-6011
Christina Lynn Maciel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9700 El Camino Real Ste 100, Atascadero, CA 93422 Phone: 805-466-1330
James Douglass Mendenhall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2188

Lourie M Jordan, PMHNP-BC - Medicare Nurse Practitioner in Atascadero, CA