Jordan Grove, MD in Jbsa Lackland, TX - Medicare Emergency Medicine

Jordan Grove, MD is a medicare enrolled "Emergency Medicine" physician in Jbsa Lackland, Texas. His current practice location is 1100 Wilford Hall Loop, Jbsa Lackland, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 916-4789.

Jordan Grove is licensed to practice in Texas (license number U5706) 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 1225658701.

Contact Information

	Jordan Grove, MD
	1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638
	(210) 916-4789
	Not Available

Map and Direction

Physician's Profile

Full Name	Jordan Grove
Gender	Male
Speciality	Emergency Medicine
Location	1100 Wilford Hall Loop, Jbsa Lackland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225658701
Provider Enumeration Date: 04/24/2020
Last Update Date: 08/17/2023

Medicare PECOS Information:

PECOS PAC ID: 1355700642
Enrollment ID: I20230705001457

Medical Identifiers

Medical identifiers for Jordan Grove such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225658701	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	0101273843 (Virginia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207P00000X	Emergency Medicine	U5706 (Texas)	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. Jordan Grove allows following entities to bill medicare on his behalf.

Entity Name	Third Coast Emergency Physicians Southwest Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497793475 PECOS PAC ID: 6800794447 Enrollment ID: O20031222000126

Entity Name	Travis County Emergency Physicians Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492

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 Grove 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 Grove, MD 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: (210) 916-4789	Jordan Grove, MD 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: (210) 916-4789

Reviews and Comments

Emergency Medicine Doctors in Jbsa Lackland, TX

Daniel Allan Weidner, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-3403
Dr. Anthony L Mitchell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-3442
Dr. Abigail Greenwell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7331
Shannon Nicole Thompson, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7331
Peter John Cuenca, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-7331
Trisha Marion Arno, D.O Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-0055
Dr. Yevgeniy Mikhaylovich Maksimenko, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 443-538-0703

Jordan Grove, MD - Medicare Emergency Medicine in Jbsa Lackland, TX