Dr Jordan Preiss Staton, MD - Medicare Obstetrics & Gynecology in Chattanooga, TN

Dr Jordan Preiss Staton, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Chattanooga, Tennessee. Her current practice location is 929 Spring Creek Rd Ste 102, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 629-9743.

Dr Jordan Preiss Staton is licensed to practice in Tennessee (license number 65621) 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 1669810149.

Contact Information

Dr Jordan Preiss Staton, MD
929 Spring Creek Rd Ste 102,
Chattanooga, TN 37412-3974
(423) 629-9743
(423) 629-9744



Physician's Profile

Full NameDr Jordan Preiss Staton
GenderFemale
SpecialityObstetrics & Gynecology
Location929 Spring Creek Rd Ste 102, Chattanooga, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669810149
  • Provider Enumeration Date: 06/06/2013
  • Last Update Date: 12/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597994624
  • Enrollment ID: I20170615002043

Medical Identifiers

Medical identifiers for Dr Jordan Preiss Staton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669810149NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology TRN18804 (Florida)Secondary
207VX0000XObstetrics & Gynecology - Obstetrics ME130417 (Florida)Secondary
207V00000XObstetrics & Gynecology 65621 (Tennessee)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. Dr Jordan Preiss Staton allows following entities to bill medicare on her behalf.
Entity NameFlorida Clinical Practice Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099

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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. Dr Jordan Preiss Staton 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 Jordan Preiss Staton, MD
4976 Alpha Ln,
Hixson, TN 37343-5470

Ph: (423) 308-0280
Dr Jordan Preiss Staton, MD
929 Spring Creek Rd Ste 102,
Chattanooga, TN 37412-3974

Ph: (423) 629-9743

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BIOTRONIK releases Pulsar-18 stent for treatment of long lesions in superficial femoral, infrapopliteal arteries

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Obstetrics & Gynecology Doctors in Chattanooga, TN

John Sindos Adams Sr., MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 929 Spring Creek Road, Suite 104, Chattanooga, TN 37412
Phone: 423-510-0250    Fax: 423-510-9524
Dr. Alicia Renee Allen, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1651 Gunbarrel Rd Ste 201, Chattanooga, TN 37421
Phone: 423-899-9133    Fax: 423-855-8176
Dr. Charles Patrick Johnson, DO
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1751 Gunbarrel Rd, Suite 101, Chattanooga, TN 37421
Phone: 423-778-8558    Fax: 423-778-8560
Dr. William Joel Moss, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1755 Gunbarrel Rd, Suite 205, Chattanooga, TN 37421
Phone: 423-756-0863    Fax: 706-937-2377
Mr. Gary A. Brunvoll, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 7490 Ziegler Rd, Chattanooga, TN 37421
Phone: 423-648-6020    Fax: 423-648-6025
Elizabeth Maria Bowers, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1751 Gunbarrel Road, Suite 100, Chattanooga, TN 37421
Phone: 423-778-9500    Fax: 423-778-8882
Porche' Warren Adams, DO, MPH
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 935 Spring Creek Rd Ste 100, Chattanooga, TN 37412
Phone: 423-510-0250    Fax: 423-510-9524

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