Dr William Travis Jordan, LCP - Medicare Psychologist in Chesapeake, VA

Dr William Travis Jordan, LCP is a medicare enrolled "Psychologist - Clinical" provider in Chesapeake, Virginia. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Colonial Internal Medicine Associates Pc and his current practice location is 4037 Taylor Rd Ste C, Chesapeake, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 609-3677.

Dr William Travis Jordan is licensed to practice in Virginia (license number 0810004861) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245668516.

Contact Information

Dr William Travis Jordan, LCP
4037 Taylor Rd Ste C,
Chesapeake, VA 23321-5500
(757) 609-3677
(757) 299-4214

Map and Direction




Healthcare Provider's Profile

Full NameDr William Travis Jordan
GenderMale
SpecialityClinical Psychologist
Experience13 Years
Location4037 Taylor Rd Ste C, Chesapeake, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr William Travis Jordan graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1245668516
  • Provider Enumeration Date: 10/24/2013
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7618106261
  • Enrollment ID: I20140131001422

Medical Identifiers

Medical identifiers for Dr William Travis Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245668516NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 0810004861 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Colonial Internal Medicine Associates Pc660884252117

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. Dr William Travis Jordan allows following entities to bill medicare on his behalf.
Entity NameChristian Psychotherapy Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437247723
PECOS PAC ID: 8820986953
Enrollment ID: O20040309001135
Entity NameColonial Internal Medicine Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346260940
PECOS PAC ID: 6608842521
Enrollment ID: O20040902000556

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. Dr William Travis 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 AddressPractice Location Address
Dr William Travis Jordan, LCP
4037 Taylor Rd Ste C,
Chesapeake, VA 23321-5500

Ph: (757) 609-3677
Dr William Travis Jordan, LCP
4037 Taylor Rd Ste C,
Chesapeake, VA 23321-5500

Ph: (757) 609-3677

Reviews and Comments


Psychologist in Chesapeake, VA

William J Duane, PHD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 4041 Taylor Rd Ste G, Chesapeake, VA 23321
Phone: 757-483-6404    Fax: 757-483-0737
Dr. Nilima Ganesh Nirmul, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 411 Cedar Rd, Chesapeake, VA 23322
Phone: 757-548-8848    
Dr. Alice Linda Riger, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1403 Greenbrier Pkwy, Suite 215, Chesapeake, VA 23320
Phone: 757-410-0700    Fax: 757-222-3384
Romeo Linaes Mosley Jr.,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2107 Liberty St, Chesapeake, VA 23324
Phone: 757-494-7600    
Sheriyse Williams, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2206 Ships Xing, Chesapeake, VA 23323
Phone: 757-717-0701    
William L Mulligan, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1403 Greenbrier Pkwy, Suite 215, Chesapeake, VA 23320
Phone: 757-410-0700    Fax: 757-222-3384
Jennifer Kay Dutcher Maurer,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2107 Liberty St, Chesapeake, VA 23324
Phone: 757-494-7600    

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