Miss Jordan Elisabeth Fierek, PA-C is a medicare enrolled "Physician Assistant" in Chappaqua, New York. Her current practice location is
57 Commodore Rd, Chappaqua, New York. You can reach out to her office (for appointments etc.) via phone at
(917) 602-0524.
Miss Jordan Elisabeth Fierek is licensed to practice in New York (license number 025470) 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 1518575034.
Provider's Profile
Full Name | Miss Jordan Elisabeth Fierek |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 57 Commodore Rd, Chappaqua, New York |
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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: 1518575034
- Provider Enumeration Date: 07/21/2020
- Last Update Date: 05/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799191979
- Enrollment ID: I20210312002196
Medical Identifiers
Medical identifiers for Miss Jordan Elisabeth Fierek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518575034 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 025470 (New York) | 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. Miss Jordan Elisabeth Fierek 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 |
Miss Jordan Elisabeth Fierek, PA-C 57 Commodore Rd, Chappaqua, NY 10514-2609 Ph: (917) 602-0524 | Miss Jordan Elisabeth Fierek, PA-C 57 Commodore Rd, Chappaqua, NY 10514 Ph: (917) 602-0524 |
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