Mr Robert Henry Jordan Iii, NURSE PRACTITIONER in Stamford, CT

Mr Robert Henry Jordan Iii, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Adult Health" in Stamford, Connecticut. His current practice location is 292 Long Ridge Rd Ste 104, Stamford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 276-8575.

Mr Robert Henry Jordan Iii is licensed to practice in Connecticut (license number 10452) 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 1801501721.

Contact Information

	Mr Robert Henry Jordan Iii, NURSE PRACTITIONER
	292 Long Ridge Rd Ste 104, Stamford, CT 06902-1627
	(203) 276-8575
	(203) 276-8576

Map and Direction

Provider's Profile

Full Name	Mr Robert Henry Jordan Iii
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	292 Long Ridge Rd Ste 104, Stamford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801501721
Provider Enumeration Date: 01/16/2023
Last Update Date: 11/15/2023

Medicare PECOS Information:

PECOS PAC ID: 4082062161
Enrollment ID: I20231130000227

Medical Identifiers

Medical identifiers for Mr Robert Henry Jordan Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801501721	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	10452 (Connecticut)	Primary

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. Mr Robert Henry Jordan Iii allows following entities to bill medicare on his behalf.

Entity Name	Stamford Health Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154633980 PECOS PAC ID: 6901099746 Enrollment ID: O20101025000743

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. Mr Robert Henry Jordan Iii 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
Mr Robert Henry Jordan Iii, NURSE PRACTITIONER 292 Long Ridge Rd Ste 104, Stamford, CT 06902-1627 Ph: (203) 276-8575	Mr Robert Henry Jordan Iii, NURSE PRACTITIONER 292 Long Ridge Rd Ste 104, Stamford, CT 06902-1627 Ph: (203) 276-8575

Reviews and Comments

Nurse Practitioner Nurses in Stamford, CT

Mrs. Jenna Katt, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 284 Sylvan Knoll Rd, Stamford, CT 06902 Phone: 631-220-2918
Mrs. Jennifer Lynn Teichman, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: One Hospital Plaza, Stamford, CT 06904 Phone: 203-276-7070 Fax: 203-276-5565
Rose N Casimir, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 59 Roxbury Rd, Stamford, CT 06902 Phone: 203-322-2100
Ms. Arlene Elizabeth Butler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 32 Strawberry Hill Court, 4th Floor, Suite 8, Stamford, CT 06902 Phone: 203-276-4255 Fax: 203-276-4259
Joan Mortarotti, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Plz, Stamford, CT 06902 Phone: 203-276-2695
Maryana German, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Hospital Plz, Stamford, CT 06902 Phone: 203-348-7410 Fax: 203-961-8488
Eleina Sapoz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Plz, Stamford, CT 06902 Phone: 203-276-2516 Fax: 203-276-2515

Mr Robert Henry Jordan Iii, NURSE PRACTITIONER - Medicare Nurse Practitioner in Stamford, CT