Jordan Lee Dutter, MD | |
203 N Division St, Flora, IN 46929-1024 | |
(574) 967-4523 | |
(574) 967-4994 |
Full Name | Jordan Lee Dutter |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 24 Years |
Location | 203 N Division St, Flora, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730157835 | NPI | - | NPPES |
11319868 | Other | IN | CAQH NUMBER |
200399760 | Medicaid | IN | |
9397025 | Other | IN | PHCS PID NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01056529A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Anew Home Care | Lafayette, IN | Home health agency |
Franciscan Health Lafayette | Lafayette, IN | Hospital |
Indiana University Health Arnett Hospital | Lafayette, IN | Hospital |
Indiana University Health White Memorial Hospital | Monticello, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Unity Healthcare Llc | 0244123362 | 71 |
Entity Name | Arnett Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
Entity Name | Unity Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619929098 PECOS PAC ID: 0244123362 Enrollment ID: O20040203001083 |
Mailing Address | Practice Location Address |
---|---|
Jordan Lee Dutter, MD Po Box 4699, Lafayette, IN 47903-4699 Ph: (765) 449-2732 | Jordan Lee Dutter, MD 203 N Division St, Flora, IN 46929-1024 Ph: (574) 967-4523 |
Alvan L Eller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 203 N Division St, Flora, IN 46929 Phone: 765-448-8000 Fax: 765-448-8335 |