Mrs Mary Elisabeth Jordan, FNP-C is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Jasper, Tennessee. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Medical Clinic Pllc and her current practice location is
4665 Main St Suite 2, Jasper, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 942-0145.
Mrs Mary Elisabeth Jordan is licensed to practice in Tennessee (license number 22310) 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 1629518626.
Provider's Profile
| Full Name | Mrs Mary Elisabeth Jordan |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 8 Years |
|---|
| Location | 4665 Main St Suite 2, Jasper, Tennessee |
|---|
| 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 Mary Elisabeth Jordan graduated from nursing school in 2016
NPI Data:
- NPI Number: 1629518626
- Provider Enumeration Date: 02/24/2017
- Last Update Date: 01/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 6800152026
- Enrollment ID: I20180130001349
Medical Identifiers
Medical identifiers for Mrs Mary Elisabeth Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629518626 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 22310 (Tennessee) | Secondary |
| 364SF0001X | Clinical Nurse Specialist - Family Health | 22310 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Fast Pace Medical Clinic Pllc | 5395881841 | 556 |
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 Mary Elisabeth Jordan allows following entities to bill medicare on her behalf.
| Entity Name | Dennis J Leonard |
|---|
| Entity Type | Practitioner - Family Practice |
|---|
| Entity Identifiers | NPI Number: 1144328063
PECOS PAC ID: 3577660984
Enrollment ID: I20070519000090 |
|---|
| Entity Name | Shc Medical Partners Of Tennessee, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1609051895
PECOS PAC ID: 1951487826
Enrollment ID: O20080318000852 |
|---|
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112 |
|---|
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 Mary Elisabeth 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 Mary Elisabeth Jordan, FNP-C
4665 Main St Suite 2,
Jasper, TN 37347
Ph: (423) 942-0145 | Mrs Mary Elisabeth Jordan, FNP-C
4665 Main St Suite 2,
Jasper, TN 37347
Ph: (423) 942-0145 |
Reviews and Comments