Dr Jordan Daniel Fett, MD in Winston Salem, NC

Dr Jordan Daniel Fett, MD is a medicare enrolled "Pediatrics - Pediatric Pulmonology" physician in Winston Salem, North Carolina. His current practice location is Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 713-4500.

Dr Jordan Daniel Fett is licensed to practice in North Carolina (license number 2022-02032) 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 1336599273.

Contact Information

	Dr Jordan Daniel Fett, MD
	Medical Center Blvd, Winston Salem, NC 27157-0001
	(336) 713-4500
	(336) 713-4501

Map and Direction

Physician's Profile

Full Name	Dr Jordan Daniel Fett
Gender	Male
Speciality	Pediatrics - Pediatric Pulmonology
Location	Medical Center Blvd, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336599273
Provider Enumeration Date: 06/21/2016
Last Update Date: 03/02/2023

Medicare PECOS Information:

PECOS PAC ID: 1658607999
Enrollment ID: I20230310000999

Medical Identifiers

Medical identifiers for Dr Jordan Daniel Fett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336599273	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301110615 (Michigan)	Secondary
2080P0214X	Pediatrics - Pediatric Pulmonology	2022-02032 (North Carolina)	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. Dr Jordan Daniel Fett allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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. Dr Jordan Daniel Fett 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
Dr Jordan Daniel Fett, MD 100 Kimel Forest Dr, Winston Salem, NC 27103-6074 Ph: (336) 716-0238	Dr Jordan Daniel Fett, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 713-4500

Reviews and Comments

Pediatrics Doctors in Winston Salem, NC

Niyati Mahajan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2295 E 14th St, Winston Salem, NC 27105 Phone: 336-713-8860 Fax: 336-713-8862
Dr. Soren Morgan Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 Whitaker Ridge Dr, Winston Salem, NC 27106 Phone: 336-718-8000 Fax: 336-718-8011
Jane Meschan Foy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Modupeola O Akinola, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
David Scott Anderson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 Whitaker Ridge Dr, Winston Salem, NC 27106 Phone: 336-718-8000 Fax: 336-718-8011
Dr. Veronica Nicola Wiltshire, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3333 Brookview Hills Blvd Ste 201, Winston Salem, NC 27103 Phone: 336-713-8660 Fax: 336-702-9276
Mrs. Julie Renee Kerth, CPNP-AC Pediatrics Medicare: Medicare Enrolled Practice Location: Wake Forest Baptist Medical Center 1, Winston Salem, NC 27157 Phone: 336-713-4500

Dr Jordan Daniel Fett, MD - Medicare Pediatrics in Winston Salem, NC