Samantha R Jordan, PSYD - Medicare Psychologist in Marietta, GA

Samantha R Jordan, PSYD is a medicare enrolled "Psychologist" provider in Marietta, Georgia. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 2520 Windy Hill Rd Se, Suite 203, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 953-6401.

Samantha R Jordan is licensed to practice in Georgia (license number PSY003632) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366786527.

Contact Information

Samantha R Jordan, PSYD
2520 Windy Hill Rd Se, Suite 203,
Marietta, GA 30067-8664
(770) 953-6401
(770) 953-6015

Map and Direction




Healthcare Provider's Profile

Full NameSamantha R Jordan
GenderFemale
SpecialityClinical Psychologist
Experience17 Years
Location2520 Windy Hill Rd Se, Marietta, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samantha R Jordan graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1366786527
  • Provider Enumeration Date: 11/12/2012
  • Last Update Date: 11/12/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0244556975
  • Enrollment ID: I20150224000696

Medical Identifiers

Medical identifiers for Samantha R Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366786527NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY003632 (Georgia)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. Samantha R Jordan allows following entities to bill medicare on her behalf.
Entity NameAtlanta Area Psychological Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720131253
PECOS PAC ID: 4587645635
Enrollment ID: O20040526000113
Entity NameInsight Psychological Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154021350
PECOS PAC ID: 9436523917
Enrollment ID: O20230323002883

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. Samantha R 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
Samantha R Jordan, PSYD
2520 Windy Hill Rd Se, Suite 203,
Marietta, GA 30067-8664

Ph: (770) 953-6401
Samantha R Jordan, PSYD
2520 Windy Hill Rd Se, Suite 203,
Marietta, GA 30067-8664

Ph: (770) 953-6401

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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