Diane Jordan-wagner, MD in Terre Haute, IN - Medicare Internal Medicine

Diane Jordan-wagner, MD is a medicare enrolled "Internal Medicine - Allergy & Immunology" physician in Terre Haute, Indiana. Her current practice location is 1429 N 6th St, Terre Haute, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 232-0564.

Diane Jordan-wagner is licensed to practice in Indiana (license number 01056292A) 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 1013025097.

Contact Information

	Diane Jordan-wagner, MD
	1429 N 6th St, Terre Haute, IN 47804-1037
	(812) 232-0564
	(812) 235-3330

Map and Direction

Physician's Profile

Full Name	Diane Jordan-wagner
Gender	Female
Speciality	Internal Medicine - Allergy & Immunology
Location	1429 N 6th St, Terre Haute, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013025097
Provider Enumeration Date: 08/29/2006
Last Update Date: 03/14/2013

Medicare PECOS Information:

PECOS PAC ID: 1153213723
Enrollment ID: I20040327000418

Medical Identifiers

Medical identifiers for Diane Jordan-wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013025097	NPI	-	NPPES
030005377	Other		RAILROAD MCARE PALAMETTO
200392780	Medicaid	IN
P00844293	Other	IN	RAILROAD MEDICARE
000000230225	Other		ANTHEM
200392780Q	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RA0201X	Internal Medicine - Allergy & Immunology	01056292A (Indiana)	Primary
207RA0201X	Internal Medicine - Allergy & Immunology	36106006 (Illinois)	Secondary

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. Diane Jordan-wagner allows following entities to bill medicare on her behalf.

Entity Name	Union Associated Physicians Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891028379 PECOS PAC ID: 3375687437 Enrollment ID: O20100213000002

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. Diane Jordan-wagner 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
Diane Jordan-wagner, MD 221 S 6th St, Terre Haute, IN 47807-4214 Ph: (812) 232-0564	Diane Jordan-wagner, MD 1429 N 6th St, Terre Haute, IN 47804-1037 Ph: (812) 232-0564

Reviews and Comments

Internal Medicine Doctors in Terre Haute, IN

Casey E Jacobs-campbell, FNP-BC Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1801 N 6th St, Terre Haute, IN 47804 Phone: 812-238-4708
Imad George Koj, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3903 S 7th St, Ste 2e, Terre Haute, IN 47802 Phone: 812-235-7370 Fax: 812-235-7570
Sudha Patel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6288 S Frye St, Terre Haute, IN 47802 Phone: 812-894-2130
Dr. Dipen V Shah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1332 N 7th St, Terre Haute, IN 47807 Phone: 812-478-8888 Fax: 812-478-1114
Dr. Tony K. Nasser, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2723 S 7th Street, Suite A, Terre Haute, IN 47802 Phone: 812-232-8164 Fax: 812-234-6391
Nawar F Mercho, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2723 S 7th St, Suite A, Terre Haute, IN 47802 Phone: 812-232-8164 Fax: 812-234-6391

Diane Jordan-wagner, MD - Medicare Internal Medicine in Terre Haute, IN