Mrs Kathleen Sanders Jordan, RN, FNP in Charlotte, NC

Mrs Kathleen Sanders Jordan, RN, FNP is a medicare enrolled "Nurse Practitioner" in Charlotte, North Carolina. Her current practice location is 1900 Randolph Rd, Ste 900, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 377-2424.

Mrs Kathleen Sanders Jordan is licensed to practice in North Carolina (license number 201024) 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 1174501142.

Contact Information

	Mrs Kathleen Sanders Jordan, RN, FNP
	1900 Randolph Rd, Ste 900, Charlotte, NC 28207-1122
	(704) 377-2424
	(704) 377-2687

Map and Direction

Provider's Profile

Full Name	Mrs Kathleen Sanders Jordan
Gender	Female
Speciality	Nurse Practitioner
Location	1900 Randolph Rd, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174501142
Provider Enumeration Date: 01/09/2006
Last Update Date: 11/29/2018

Medicare PECOS Information:

PECOS PAC ID: 6709834708
Enrollment ID: I20050106000401

Medical Identifiers

Medical identifiers for Mrs Kathleen Sanders Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174501142	NPI	-	NPPES
1174501142	Medicaid	NC
500012987	Other	NC	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	201024 (North Carolina)	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. Mrs Kathleen Sanders Jordan allows following entities to bill medicare on her behalf.

Entity Name	Mid-atlantic Emergency Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073562757 PECOS PAC ID: 4880686823 Enrollment ID: O20040331000927

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. Mrs Kathleen Sanders 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
Mrs Kathleen Sanders Jordan, RN, FNP 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 Ph: (704) 377-2424	Mrs Kathleen Sanders Jordan, RN, FNP 1900 Randolph Rd, Ste 900, Charlotte, NC 28207-1122 Ph: (704) 377-2424

Reviews and Comments

Nurse Practitioner Nurses in Charlotte, NC

Melissa E Jesse, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2236 Shenandoah Ave, Charlotte, NC 28205 Phone: 704-999-9857
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Melissa Renee Flood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Harding Pl, Ste 5100, Charlotte, NC 28204 Phone: 704-355-8850
Anna Philbeck Burgess, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4135 Southstream Blvd, Charlotte, NC 28217 Phone: 704-631-1200
Stephanie Dawn Ferlic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 Farmingdale Dr, Charlotte, NC 28212 Phone: 704-910-5810
Brooke Alyssa Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2711 Randolph Rd Ste 400, Charlotte, NC 28207 Phone: 704-342-1900 Fax: 704-377-0353
Angela Devincent Booth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840

Mrs Kathleen Sanders Jordan, RN, FNP - Medicare Nurse Practitioner in Charlotte, NC