Mrs Linda Mary Jordan-parker, EDD is a medicare enrolled "Psychologist" provider in Somers, Connecticut. Her current practice location is
11 Brace Rd, Somers, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 819-1088.
Mrs Linda Mary Jordan-parker is licensed to practice in Connecticut (license number 003041) 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 1093071490.
Healthcare Provider's Profile
| Full Name | Mrs Linda Mary Jordan-parker |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 11 Brace Rd, Somers, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093071490
- Provider Enumeration Date: 04/10/2012
- Last Update Date: 10/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 7618129172
- Enrollment ID: I20121206000616
Medical Identifiers
Medical identifiers for Mrs Linda Mary Jordan-parker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093071490 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 003041 (Connecticut) | Secondary |
| 103T00000X | Psychologist | 003041 (Connecticut) | 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. Mrs Linda Mary Jordan-parker allows following entities to bill medicare on her behalf.
| Entity Name | State Of Connecticut |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487689022
PECOS PAC ID: 8022915677
Enrollment ID: O20040319000169 |
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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. Mrs Linda Mary Jordan-parker 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 Linda Mary Jordan-parker, EDD
11 Brace Rd,
Somers, CT 06071-1420
Ph: (860) 819-1088 | Mrs Linda Mary Jordan-parker, EDD
11 Brace Rd,
Somers, CT 06071-1420
Ph: (860) 819-1088 |
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