Dr Quincy Jerome Jordan Sr, MD is a medicare enrolled "Family Medicine" physician in Montezuma, Georgia. He went to Meharry Medical College School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Premier Healthcare Investments and his current practice location is
509 Sumter St, Montezuma, Georgia. You can reach out to his office (for appointments etc.) via phone at
(478) 472-3100.
Dr Quincy Jerome Jordan Sr is licensed to practice in Georgia (license number 033367) 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 1093888687.
Physician's Profile
| Full Name | Dr Quincy Jerome Jordan Sr |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 38 Years |
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| Location | 509 Sumter St, Montezuma, Georgia |
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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:
- Dr Quincy Jerome Jordan Sr attended and graduated from Meharry Medical College School Of Medicine in 1986
NPI Data:
- NPI Number: 1093888687
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 05/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 2466349220
- Enrollment ID: I20040304000531
Medical Identifiers
Medical identifiers for Dr Quincy Jerome Jordan Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093888687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 033367 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Premier Healthcare Investments | 9830327972 | 7 |
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 Quincy Jerome Jordan Sr allows following entities to bill medicare on his behalf.
| Entity Name | Premier Healthcare Investments |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528497351
PECOS PAC ID: 9830327972
Enrollment ID: O20141219001548 |
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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. Dr Quincy Jerome Jordan Sr 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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Dr Quincy Jerome Jordan Sr, MD
509 Sumter St,
Montezuma, GA 31063-1733
Ph: (478) 472-3100 | Dr Quincy Jerome Jordan Sr, MD
509 Sumter St,
Montezuma, GA 31063
Ph: (478) 472-3100 |
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