Lynn Jordan, RN, MSN, FNP is a medicare enrolled "Registered Nurse" in Middletown, California. Her current practice location is
21337 Bush Street, Middletown, California. You can reach out to her office (for appointments etc.) via phone at
(707) 987-3311.
Lynn Jordan is licensed to practice in California (license number 696262) 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 1770911745.
Provider's Profile
Full Name | Lynn Jordan |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 21337 Bush Street, Middletown, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770911745
- Provider Enumeration Date: 10/29/2013
- Last Update Date: 07/01/2015
Medicare PECOS Information:
- PECOS PAC ID: 7719292218
- Enrollment ID: I20150812008542
Medical Identifiers
Medical identifiers for Lynn Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770911745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 696262 (California) | Primary |
363LF0000X | Nurse Practitioner - Family | 95002565 (California) | 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. Lynn Jordan allows following entities to bill medicare on her behalf.
Entity Name | Adventist Health Clearlake Hospital Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573 |
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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. Lynn 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 |
Lynn Jordan, RN, MSN, FNP 21337 Bush Street, Middletown, CA 95461 Ph: (707) 987-3311 | Lynn Jordan, RN, MSN, FNP 21337 Bush Street, Middletown, CA 95461 Ph: (707) 987-3311 |
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