Mallory Odom Jordan, FNP in Bay Springs, MS - Medicare Nurse Practitioner

Mallory Odom Jordan, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bay Springs, Mississippi. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Jasper General Hospital and her current practice location is 27 S Sixth St, Bay Springs, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 764-2155.

Mallory Odom Jordan is licensed to practice in Mississippi (license number 904891) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073285573.

Contact Information

	Mallory Odom Jordan, FNP
	27 S Sixth St, Bay Springs, MS 39422-9052
	(601) 764-2155
	Not Available

Map and Direction

Provider's Profile

Full Name	Mallory Odom Jordan
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	27 S Sixth St, Bay Springs, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mallory Odom Jordan graduated from nursing school in 2021

NPI Data:

NPI Number: 1073285573
Provider Enumeration Date: 10/02/2021
Last Update Date: 10/02/2021

Medicare PECOS Information:

PECOS PAC ID: 9436547957
Enrollment ID: I20211102001061

Medical Identifiers

Medical identifiers for Mallory Odom Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073285573	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	904891 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jasper General Hospital	Bay springs, MS	Hospital
South Central Reg Med Ctr	Laurel, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jasper General Hospital	1052487105	9

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. Mallory Odom Jordan allows following entities to bill medicare on her behalf.

Entity Name	Jasper General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770660920 PECOS PAC ID: 1052487105 Enrollment ID: O20130115000077

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. Mallory Odom 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
Mallory Odom Jordan, FNP 27 S Sixth St, Bay Springs, MS 39422-9052 Ph: () -	Mallory Odom Jordan, FNP 27 S Sixth St, Bay Springs, MS 39422-9052 Ph: (601) 764-2155

Reviews and Comments

Nurse Practitioner Nurses in Bay Springs, MS

Mrs. Pamela R Fail, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 A South 6th Street, Bay Springs, MS 39422 Phone: 601-764-2101 Fax: 601-764-4789
Mrs. Amber Miles, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 S Sixth St, Bay Springs, MS 39422 Phone: 601-764-4494 Fax: 601-764-4649
Mrs. Leanne Terrell Bynum, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27 S Sixth St # A, Bay Springs, MS 39422 Phone: 601-764-2155 Fax: 601-764-2150
Mrs. Kristen Leigh Ellzey, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27 S Sixth St, Bay Springs, MS 39422 Phone: 601-764-2155 Fax: 601-764-2150
Rebecca Little, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27 S. 6th Street, Bay Springs, MS 39422 Phone: 601-764-2155
Baley Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 S Sixth St, Bay Springs, MS 39422 Phone: 601-764-4501

Mallory Odom Jordan, FNP - Medicare Nurse Practitioner in Bay Springs, MS