Mario Jordan, APRN, PMHNP-BC - Medicare Nurse Practitioner in Lakewood, OH

  1. Home
  2. Nurse Practitioner
  3. OH
  4. Lakewood
Mario Jordan, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lakewood, Ohio. His current practice location is 12900 Lake Ave Apt 1101, Lakewood, Ohio. You can reach out to his office (for appointments etc.) via phone at (216) 269-8527.

Mario Jordan is licensed to practice in Ohio (license number APRN.CNP.0034613) 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 1578014403.

Contact Information

Mario Jordan, APRN, PMHNP-BC
12900 Lake Ave Apt 1101,
Lakewood, OH 44107-1552
(216) 269-8527
Not Available

Map and Direction




Provider's Profile

Full NameMario Jordan
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location12900 Lake Ave Apt 1101, Lakewood, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578014403
  • Provider Enumeration Date: 10/14/2016
  • Last Update Date: 08/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5698128841
  • Enrollment ID: I20240124003042

Medical Identifiers

Medical identifiers for Mario Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578014403NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN.CNP.0034613 (Ohio)Primary
163W00000XRegistered Nurse RN416819 (Ohio)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. Mario Jordan allows following entities to bill medicare on his behalf.
Entity NameUniversity Hospitals Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301

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. Mario 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 AddressPractice Location Address
Mario Jordan, APRN, PMHNP-BC
12900 Lake Ave Apt 1101,
Lakewood, OH 44107-1552

Ph: (216) 269-8527		Mario Jordan, APRN, PMHNP-BC
12900 Lake Ave Apt 1101,
Lakewood, OH 44107-1552

Ph: (216) 269-8527

Reviews and Comments


Nurse Practitioner Nurses in Lakewood, OH

Regina West, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1522 Victoria Ave, Lakewood, OH 44107
Phone: 216-308-2284    
Dominique Marie Fatica,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 11706 Clifton Blvd, Lakewood, OH 44107
Phone: 866-389-2727    
Nicole Buckley,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11706 Clifton Blvd, Lakewood, OH 44107
Phone: 216-228-9296    
Madelyn Suzanne Yacavino, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11706 Clifton Blvd, Lakewood, OH 44107
Phone: 216-228-9296    
Elizabeth Crespo, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14519 Detroit Ave, Lakewood, OH 44107
Phone: 216-521-4200    
Sherri Whitaker, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 15800 Detroit Ave, Lakewood, OH 44107
Phone: 216-226-8700    Fax: 216-221-3171
Mrs. Christine Ann Dearth, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14601 Detroit Ave, Suite 540, Lakewood, OH 44107
Phone: 216-529-5300    Fax: 216-529-5301

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.