Jordan Thiesen, in Jackson, MS - Medicare Emergency Medicine

Jordan Thiesen, is a medicare enrolled "Emergency Medicine" physician in Jackson, Mississippi. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Cep America - California and his current practice location is 2500 N State St, Department Of Emergency Medicine, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 984-5582.

Jordan Thiesen is licensed to practice in California (license number 20A16372) 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 1578942892.

Contact Information

	Jordan Thiesen,
	2500 N State St, Department Of Emergency Medicine, Jackson, MS 39216
	(601) 984-5582
	(601) 984-5583

Map and Direction

Physician's Profile

Full Name	Jordan Thiesen
Gender	Male
Speciality	Emergency Medicine
Experience	9 Years
Location	2500 N State St, Jackson, Mississippi
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 Thiesen graduated from medical school in 2015

NPI Data:

NPI Number: 1578942892
Provider Enumeration Date: 05/19/2015
Last Update Date: 07/11/2018

Medicare PECOS Information:

PECOS PAC ID: 9436465507
Enrollment ID: I20180720001174

Medical Identifiers

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

Identifier	Type	State	Issuer
1578942892	NPI	-	NPPES
07087533	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	20A16372 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Agnes Medical Center	Fresno, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cep America - California	6103739131	974

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 Thiesen allows following entities to bill medicare on his behalf.

Entity Name	Cep America - California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520

Entity Name	Saint Agnes Medical Center
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1205845567 PECOS PAC ID: 3971409335 Enrollment ID: O20070824000478

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 Thiesen 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 Thiesen, 2500 N State St, Department Of Emergency Medicine, Jackson, MS 39216-4500 Ph: () -	Jordan Thiesen, 2500 N State St, Department Of Emergency Medicine, Jackson, MS 39216 Ph: (601) 984-5582

Reviews and Comments

Emergency Medicine Doctors in Jackson, MS

Laura Elizabeth Vearrier, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005
Dr. Melanie Fox, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Mohsin Saber, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 N State St, Department Of Emergency Medicine, Jackson, MS 39201 Phone: 601-984-5582 Fax: 601-984-5583
Dr. Gabriel William Tonkin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N. State St., Dept. Of Emergency Medicine, Jackson, MS 39216 Phone: 601-984-5582
John C Brooks, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-982-6001 Fax: 601-982-8616
Bob Hutchins, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3502 W Northside Dr, Jackson, MS 39213 Phone: 601-362-5321 Fax: 601-364-2600
Lana Ngoc Phan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-1000

Jordan Thiesen, - Medicare Emergency Medicine in Jackson, MS