Jordan Tyler Bush, is a
Case Manager/care Coordinator based in Mcalester, Oklahoma. Jordan Tyler Bush is licensed to practice in Oklahoma (license number ) and his current practice location is
727 E Wyandotte Ave, Mcalester, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 420-5343.
NPI number for Jordan Tyler Bush is 1215493127 and his current mailing address is Po Box 292, Whitefield, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215493127.
Healthcare Provider's Profile
| Full Name | Jordan Tyler Bush |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 727 E Wyandotte Ave, Mcalester, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1215493127
- Provider Enumeration Date: 02/15/2019
- Last Update Date: 02/16/2019
Medical Identifiers
Medical identifiers for Jordan Tyler Bush such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215493127 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Oklahoma) | Primary |
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. Jordan Tyler Bush is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jordan Tyler Bush,
Po Box 292,
Whitefield, OK 74472-0292
Ph: (918) 448-2232 | Jordan Tyler Bush,
727 E Wyandotte Ave,
Mcalester, OK 74501-5451
Ph: (918) 420-5343 |
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