Dr Taylor R Jordan, MD in Eden Prairie, MN

Dr Taylor R Jordan, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Eden Prairie, Minnesota. His current practice location is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 595-1301.

Dr Taylor R Jordan is licensed to practice in California (license number A97803) 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 1629391305.

Contact Information

	Dr Taylor R Jordan, MD
	11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349
	(952) 595-1301
	(612) 294-4903

Map and Direction

Physician's Profile

Full Name	Dr Taylor R Jordan
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	11995 Singletree Ln Ste 500, Eden Prairie, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629391305
Provider Enumeration Date: 03/09/2010
Last Update Date: 07/02/2021

Medicare PECOS Information:

PECOS PAC ID: 9133257306
Enrollment ID: I20100507000711

Medical Identifiers

Medical identifiers for Dr Taylor R Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629391305	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	A97803 (California)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	A97803 (California)	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 Taylor R Jordan allows following entities to bill medicare on his behalf.

Entity Name	Kern Radiology Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700821972 PECOS PAC ID: 7214826460 Enrollment ID: O20040315000421

Entity Name	California Managed Imaging Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821271727 PECOS PAC ID: 9436229887 Enrollment ID: O20080528000575

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 Taylor R 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
Dr Taylor R Jordan, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301	Dr Taylor R Jordan, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301

Reviews and Comments

Radiology Doctors in Eden Prairie, MN

Norna L. Karp, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Christopher Calixte, MD Radiology Medicare: Medicare Enrolled Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Paul D Guisler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Rati N Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Jacob Gebrael, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Susanne S. Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Gwendolyn Durgin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903

Dr Taylor R Jordan, MD - Medicare Radiology in Eden Prairie, MN