Look up the most recent NPI and PECOS records

Jordan Kane

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

4350 Us 421 S, Lillington, NC 27546-6760

PECOS Enrollment

Based on the most recent information from CMS, provider Jordan Kane is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1649054867
Provider Type
Individual
Full Name
Kane, Jordan
Gender
Female

Sole Proprietor
No
Enumeration Date
8/21/2023
Last Updated
8/21/2023

Contact Information

Practice Location

4350 Us 421 S, Lillington, NC 27546-6760

(910) 893-1210

Unlisted Fax

Mailing Location

18294 Windsor Hill Dr, Olney, MD 20832-1484

(301) 775-1314

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Jordan Kane

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Stanley, Karson Makenna

Leviere, Anna Finestone

Ledgett, Julia Ashton

Adeyemi, Norah

Rushton, Samantha Joelle

Glass, Grace

Cothran, Ashley L

Corum, Taylor Scott

Nguyen, Jasmine

Debetta, Johnathan Donald