Jeremiah Jordan, is a
Psychologist - School based in Stanardsville, Virginia. Jeremiah Jordan is licensed to practice in * (Not Available) (license number ) and his current practice location is
8094 Spotswood Trl, Stanardsville, Virginia. He can be reached at his office (for appointments etc.) via phone at
(434) 939-9001.
NPI number for Jeremiah Jordan is 1972079846 and his current mailing address is 8094 Spotswood Trl, Stanardsville, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972079846.
Healthcare Provider's Profile
Full Name | Jeremiah Jordan |
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Gender | Male |
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Speciality | Psychologist - School |
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Location | 8094 Spotswood Trl, Stanardsville, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972079846
- Provider Enumeration Date: 10/18/2018
- Last Update Date: 10/18/2018
Medical Identifiers
Medical identifiers for Jeremiah Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972079846 | NPI | - | NPPES |
0813000755 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
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. Jeremiah Jordan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jeremiah Jordan, 8094 Spotswood Trl, Stanardsville, VA 22973-2846 Ph: (434) 939-9001 | Jeremiah Jordan, 8094 Spotswood Trl, Stanardsville, VA 22973-2846 Ph: (434) 939-9001 |
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