Mrs Lenise Marlena Jordan, NP-C is a medicare enrolled "Nurse Practitioner - Family" in South Fulton, Georgia. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Centerwell Senior Primary Care Ga Pc and her current practice location is
6085 Old National Hwy Ste G, South Fulton, Georgia. You can reach out to her office (for appointments etc.) via phone at
(844) 644-4325.
Mrs Lenise Marlena Jordan is licensed to practice in Georgia (license number RN162420) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639595309.
Provider's Profile
Full Name | Mrs Lenise Marlena Jordan |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 11 Years |
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Location | 6085 Old National Hwy Ste G, South Fulton, Georgia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Lenise Marlena Jordan graduated from nursing school in 2013
NPI Data:
- NPI Number: 1639595309
- Provider Enumeration Date: 03/05/2014
- Last Update Date: 05/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476778085
- Enrollment ID: I20140715000928
Medical Identifiers
Medical identifiers for Mrs Lenise Marlena Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639595309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | RN162420 (Georgia) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Centerwell Senior Primary Care Ga Pc | 3274939061 | 34 |
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 Lenise Marlena Jordan allows following entities to bill medicare on her behalf.
Entity Name | Centerwell Senior Primary Care Ga Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801463468 PECOS PAC ID: 3274939061 Enrollment ID: O20210901004313 |
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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 Lenise Marlena 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 Lenise Marlena Jordan, NP-C 6085 Old National Hwy Ste G, South Fulton, GA 30349-4333 Ph: (844) 644-4325 | Mrs Lenise Marlena Jordan, NP-C 6085 Old National Hwy Ste G, South Fulton, GA 30349-4333 Ph: (844) 644-4325 |
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