Sue-ellen Jordan, CRNA in Hickory, NC - Medicare Nurse Anesthetist, Certified Registered

Sue-ellen Jordan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hickory, North Carolina. Her current practice location is 810 Fairgrove Church Rd, Hickory, North Carolina. You can reach out to her office (for appointments etc.) via phone at (828) 326-3809.

Sue-ellen Jordan is licensed to practice in North Carolina (license number 72862) 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 1407958614.

Contact Information

	Sue-ellen Jordan, CRNA
	810 Fairgrove Church Rd, Hickory, NC 28602-9617
	(828) 326-3809
	(828) 326-3371

Map and Direction

Provider's Profile

Full Name	Sue-ellen Jordan
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	810 Fairgrove Church Rd, Hickory, 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: 1407958614
Provider Enumeration Date: 09/01/2006
Last Update Date: 05/18/2016

Medicare PECOS Information:

PECOS PAC ID: 1951321272
Enrollment ID: I20051207000019

Medical Identifiers

Medical identifiers for Sue-ellen Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407958614	NPI	-	NPPES
8052448	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	72862 (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. Sue-ellen Jordan allows following entities to bill medicare on her behalf.

Entity Name	Lake Norman Anesthesia Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386753457 PECOS PAC ID: 1951396126 Enrollment ID: O20040416001309

Entity Name	East Carolina Anesthesia Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791

Entity Name	Western Carolina Sedation Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326669508 PECOS PAC ID: 4082031232 Enrollment ID: O20200902001043

Entity Name	Azura Anesthesia Partners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528669728 PECOS PAC ID: 6608281167 Enrollment ID: O20210830003493

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. Sue-ellen 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
Sue-ellen Jordan, CRNA 146 Medical Park Rd, Ste 108, Mooresville, NC 28117-8529 Ph: (704) 662-0877	Sue-ellen Jordan, CRNA 810 Fairgrove Church Rd, Hickory, NC 28602-9617 Ph: (828) 326-3809

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Hickory, NC

Mr. Hermann Curt Spiegel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 242a 9th Ave Dr Ne, Hickory, NC 28601 Phone: 828-327-6673
Tracy A. Ellingson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 242a 9th Ave Dr Ne, Hickory, NC 28601 Phone: 828-327-6673
Mrs. Terry C Wellman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10 3rd Ave Ne Ste 200, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245
Mr. Donald E Lowe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 415 N Center St, Ste 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245
Ida Louise Goodnight, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 Fairgrove Church Rd, Hickory, NC 28602 Phone: 828-326-3809 Fax: 828-326-3371
Katherine D Dellinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 N Center St, Suite 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245
Robert A Hartman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 N Center St, Ste 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245

Sue-ellen Jordan, CRNA - Medicare Nurse Anesthetist, Certified Registered in Hickory, NC