Robert James Jordan, FNP is a medicare enrolled "Nurse Practitioner - Family" in Colerain, North Carolina. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Roanoke Chowan Community Health Center Inc, Coastal Rehabilitation Inc and his current practice location is
109 W River St, Colerain, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 356-2404.
Robert James Jordan is licensed to practice in North Carolina (license number 5014223) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1336725050.
Provider's Profile
| Full Name | Robert James Jordan |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 109 W River St, Colerain, North Carolina |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Robert James Jordan graduated from nursing school in 2021
NPI Data:
- NPI Number: 1336725050
- Provider Enumeration Date: 03/23/2021
- Last Update Date: 03/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 3870993637
- Enrollment ID: I20210616000014
Medical Identifiers
Medical identifiers for Robert James Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336725050 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 5014223 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Roanoke Chowan Community Health Center Inc | 7214983386 | 31 |
| Coastal Rehabilitation Inc | 9537071535 | 101 |
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. Robert James Jordan allows following entities to bill medicare on his behalf.
| Entity Name | Roanoke Chowan Community Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790851004
PECOS PAC ID: 7214983386
Enrollment ID: O20050428001071 |
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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. Robert James 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 |
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Robert James Jordan, FNP
Po Box 669,
Ahoskie, NC 27910-0669
Ph: (252) 209-0237 | Robert James Jordan, FNP
109 W River St,
Colerain, NC 27924-9006
Ph: (252) 356-2404 |
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