Mr Jordan Mount, CRNP | |
505 Ne 87th Ave Ste 301, Vancouver, WA 98664-1965 | |
(360) 514-1854 | |
(360) 514-6063 |
Full Name | Mr Jordan Mount |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 505 Ne 87th Ave Ste 301, Vancouver, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750613980 | NPI | - | NPPES |
1021036480001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP010707 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | MM2292186 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Peacehealth St John Medical Center | Longview, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clear Choice Dermatology | 4789005034 | 17 |
Clear Choice Dermatology | 4789005034 | 17 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609061969 PECOS PAC ID: 8820178288 Enrollment ID: O20080110000429 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191230002111 |
Entity Name | Clear Choice Dermatology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891327185 PECOS PAC ID: 4789005034 Enrollment ID: O20200611000412 |
Mailing Address | Practice Location Address |
---|---|
Mr Jordan Mount, CRNP 140 Woodlyn Ave, Willow Grove, PA 19090-3736 Ph: (267) 702-0323 | Mr Jordan Mount, CRNP 505 Ne 87th Ave Ste 301, Vancouver, WA 98664-1965 Ph: (360) 514-1854 |
Mrs. Tracy Lynn Clason, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 Se 124th Ave, Suite 22, Vancouver, WA 98684 Phone: 360-882-7603 Fax: 360-896-0337 | |
Ms. Mary Louise Kroske, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10500 Ne 86th St, Vancouver, WA 98662 Phone: 425-359-6706 Fax: 369-604-6777 | |
Julie Ann Thompson, FNP-C. PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 E 4th Plain Blvd Bldg 11, Vancouver, WA 98661 Phone: 360-696-4061 | |
Shannon Kristine Urban, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16811 Se Mcgillivray Blvd, Vancouver, WA 98683 Phone: 360-735-8100 | |
Mr. Richard Francis Gebhardt, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Main St, Vancouver, WA 98663 Phone: 360-696-5232 Fax: 360-696-5228 | |
Todd Skenandore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2529 Ne 139th St Ste 110, Vancouver, WA 98686 Phone: 360-882-2778 | |
Nina Tran, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 180 Ne 192nd Ave Ste 505, Vancouver, WA 98684 Phone: 503-305-6262 |