Jordan Elijah Rotstein Tannenbaum, MD in Winston Salem, NC

Jordan Elijah Rotstein Tannenbaum, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Winston Salem, North Carolina. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Wake Forest University Health Sciences and 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) 716-6674.

Jordan Elijah Rotstein Tannenbaum is licensed to practice in North Carolina (license number 2021-02064) 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 1144727645.

Contact Information

	Jordan Elijah Rotstein Tannenbaum, MD
	Medical Center Blvd, Winston Salem, NC 27157-1900
	(336) 716-6674
	Not Available

Map and Direction

Physician's Profile

Full Name	Jordan Elijah Rotstein Tannenbaum
Gender	Male
Speciality	Internal Medicine
Experience	6 Years
Location	Medical Center Blvd, Winston Salem, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jordan Elijah Rotstein Tannenbaum graduated from medical school in 2018

NPI Data:

NPI Number: 1144727645
Provider Enumeration Date: 04/11/2018
Last Update Date: 07/24/2024

Medicare PECOS Information:

PECOS PAC ID: 8921354846
Enrollment ID: I20220427000481

Medical Identifiers

Medical identifiers for Jordan Elijah Rotstein Tannenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144727645	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	2021-02064 (North Carolina)	Primary
207R00000X	Internal Medicine	2021-02064 (North Carolina)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wake Forest University Health Sciences	4486564952	2048

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. Jordan Elijah Rotstein Tannenbaum 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

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Forsyth Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702

Entity Name	The Moses H Cone Memorial Hospital Operating Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013265909 PECOS PAC ID: 6204744600 Enrollment ID: O20121003000518

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. Jordan Elijah Rotstein Tannenbaum 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
Jordan Elijah Rotstein Tannenbaum, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-6674	Jordan Elijah Rotstein Tannenbaum, MD Medical Center Blvd, Winston Salem, NC 27157-1900 Ph: (336) 716-6674

Reviews and Comments

Internal Medicine Doctors in Winston Salem, NC

Shannon Mitchell St Clair, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Dr. Kamal Hanee Henderson, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Dr. Michael Joseph Mccormack Jr., M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Randall Stephan Conrad, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4305
Brooke Williams, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-8383
Dr. Analicia Marie Alvarado, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Dr. David Defeo, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3001 Lyndhurst Ave, Winston Salem, NC 27103 Phone: 336-765-0383 Fax: 336-768-1737

Jordan Elijah Rotstein Tannenbaum, MD - Medicare Internal Medicine in Winston Salem, NC