Carl Daniel Jordan, DO is a medicare enrolled "Surgery" physician in Willow Park, Texas. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Texas Health Physicians Group and his current practice location is
101 Crown Pointe Blvd, Willow Park, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 757-1675.
Carl Daniel Jordan is licensed to practice in Texas (license number P1774) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194921452.
Physician's Profile
| Full Name | Carl Daniel Jordan |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 17 Years |
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| Location | 101 Crown Pointe Blvd, Willow Park, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carl Daniel Jordan graduated from medical school in 2007
NPI Data:
- NPI Number: 1194921452
- Provider Enumeration Date: 06/25/2007
- Last Update Date: 01/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 8123275773
- Enrollment ID: I20120904000543
Medical Identifiers
Medical identifiers for Carl Daniel Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194921452 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | P1774 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Texas Health Physicians Group | 4385535954 | 1203 |
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. Carl Daniel Jordan allows following entities to bill medicare on his behalf.
| Entity Name | Texas Health Physicians Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174573596
PECOS PAC ID: 4385535954
Enrollment ID: O20040323000759 |
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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. Carl Daniel 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 Address | Practice Location Address |
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Carl Daniel Jordan, DO
101 Crown Pointe Blvd,
Willow Park, TX 76087-1191
Ph: (817) 757-1675 | Carl Daniel Jordan, DO
101 Crown Pointe Blvd,
Willow Park, TX 76087-1191
Ph: (817) 757-1675 |
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