Jordan Lee Dutter, MD is a medicare enrolled "Family Medicine" physician in Flora, Indiana. His current practice location is
203 N Division St, Flora, Indiana. You can reach out to his office (for appointments etc.) via phone at
(574) 967-4523.
Jordan Lee Dutter is licensed to practice in Indiana (license number 01056529A) 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 1730157835.
Physician's Profile
Full Name | Jordan Lee Dutter |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 203 N Division St, Flora, Indiana |
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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 Lee Dutter attended and graduated from in
NPI Data:
- NPI Number: 1730157835
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 03/22/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jordan Lee Dutter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730157835 | NPI | - | NPPES |
11319868 | Other | IN | CAQH NUMBER |
200399760 | Medicaid | IN | |
9397025 | Other | IN | PHCS PID NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 01056529A (Indiana) | 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. Jordan Lee Dutter 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 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 |
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