Emily Jordan Maxon, DO is a
Dermatology physician based in Fort Cavazos, Texas. Emily Jordan Maxon is licensed to practice in Nebraska (license number 2395) and her current practice location is 36065 Santa Fe Ave, Fort Cavazos, Texas. She can be reached at her office (for appointments etc.) via phone at
(254) 288-8000.
NPI number for Emily Jordan Maxon is 1770049314 and her current mailing address is 2102286243, Jbsa Ft Sam Houston, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770049314.
Physician's Profile
| Full Name | Emily Jordan Maxon |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 36065 Santa Fe Ave, Fort Cavazos, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770049314
- Provider Enumeration Date: 02/19/2019
- Last Update Date: 08/08/2023
Medical Identifiers
Medical identifiers for Emily Jordan Maxon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770049314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 2395 (Nebraska) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | 2395 (Nebraska) | Primary |
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. Emily Jordan Maxon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Emily Jordan Maxon, DO
2102286243,
Jbsa Ft Sam Houston, TX 78234-4504
Ph: () - | Emily Jordan Maxon, DO
36065 Santa Fe Ave,
Fort Cavazos, TX 76544-5060
Ph: (254) 288-8000 |
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