Dr Kevin Theophilus Jordan, MD | |
1401 Foucher St, New Orleans, LA 70115-3515 | |
(504) 897-7794 | |
(504) 897-7354 |
Full Name | Dr Kevin Theophilus Jordan |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 39 Years |
Location | 1401 Foucher St, New Orleans, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922205889 | NPI | - | NPPES |
1364371 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35.130562 (Ohio) | Secondary |
207P00000X | Emergency Medicine | 018235 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Tammany Parish Hospital | Covington, LA | Hospital |
Merit Health Wesley | Hattiesburg, MS | Hospital |
Acadia General Hospital | Crowley, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hattiesburg Hb Medical Services Llc | 6507220167 | 9 |
St Tammany Emergency Physicians Group Llc | 7214255967 | 20 |
Entity Name | Mississippi Emergency Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710220678 PECOS PAC ID: 2264672492 Enrollment ID: O20130710000827 |
Entity Name | Capital Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528405230 PECOS PAC ID: 0244471480 Enrollment ID: O20130730000783 |
Entity Name | App Of Mississippi Ed Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534 |
Entity Name | Natchez Hb Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770264459 PECOS PAC ID: 8921461286 Enrollment ID: O20230905000471 |
Entity Name | Hattiesburg Hb Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699456376 PECOS PAC ID: 6507220167 Enrollment ID: O20230914003005 |
Entity Name | Jackson Hb Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184305856 PECOS PAC ID: 6103273131 Enrollment ID: O20231113001051 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin Theophilus Jordan, MD 2411 Killdeer St, New Orleans, LA 70122-4315 Ph: (504) 897-7794 | Dr Kevin Theophilus Jordan, MD 1401 Foucher St, New Orleans, LA 70115-3515 Ph: (504) 897-7794 |
Ms. Misty T Wetzel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 963 Taft Pl, New Orleans, LA 70119 Phone: 504-309-4246 | |
Jasmine Sha'dey Holmes, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2000 Canal Street, D&t Bldg., 2nd Floor, Suite 2720, New Orleans, LA 70112 Phone: 504-702-2287 Fax: 504-702-2500 | |
Dr. Susan Diane Taylor, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Foucher St, New Orleans, LA 70115 Phone: 504-897-2850 | |
Lisa Birdsall Fort, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3460 | |
Ms. Elizabeth Anne Clement, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2020 Gravier St, 7th Floor, New Orleans, LA 70112 Phone: 504-903-3594 | |
Sarah Elizabeth Griffin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Canal St, New Orleans, LA 70112 Phone: 347-271-0784 | |
Colin Devlin, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5022 Laurel St, New Orleans, LA 70115 Phone: 781-696-2226 |