Marshall C Jordan, MD - Medicare Surgery in Espanola, NM

Marshall C Jordan, MD is a medicare enrolled "Surgery" physician in Espanola, New Mexico. His current practice location is Espanola Multi-specialty Clinic, 1010 Spruce St, Espanola, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 367-0340.

Marshall C Jordan is licensed to practice in New Mexico (license number MD2006-0824) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982656880.

Contact Information

Marshall C Jordan, MD
Espanola Multi-specialty Clinic, 1010 Spruce St,
Espanola, NM 87532
(505) 367-0340
(505) 367-0346



Physician's Profile

Full NameMarshall C Jordan
GenderMale
SpecialitySurgery
LocationEspanola Multi-specialty Clinic, Espanola, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982656880
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 08/14/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 9436105848
  • Enrollment ID: I20070413000311

Medical Identifiers

Medical identifiers for Marshall C Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982656880NPI-NPPES
29377056MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD2006-0824 (New Mexico)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. Marshall C Jordan allows following entities to bill medicare on his behalf.
Entity NamePresbyterian Healthcare Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104802354
PECOS PAC ID: 9234041708
Enrollment ID: O20031103000603

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› Verified 7 days ago

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. Marshall C 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
Marshall C Jordan, MD
Po Box 26666, Phs Provider Enrollment,
Albuquerque, NM 87125-6666

Ph: (505) 923-5356
Marshall C Jordan, MD
Espanola Multi-specialty Clinic, 1010 Spruce St,
Espanola, NM 87532

Ph: (505) 367-0340

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Surgery Doctors in Espanola, NM

Mr. Blair Kent Hough, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Spruce St, Pmg Espanola, Espanola, NM 87532
Phone: 505-367-0362    

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