Jordan W Stuckey, MD is a medicare enrolled "Anesthesiology" physician in Defiance, Ohio. His current practice location is
1200 Ralston Ave, Department Of Surgery, Defiance, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 783-6944.
Jordan W Stuckey is licensed to practice in Ohio (license number 35094500) 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 1205983012.
Physician's Profile
Full Name | Jordan W Stuckey |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1200 Ralston Ave, Defiance, Ohio |
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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 W Stuckey attended and graduated from in
NPI Data:
- NPI Number: 1205983012
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 11/03/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jordan W Stuckey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205983012 | NPI | - | NPPES |
97054449 | Other | OH | AETNA |
P00812723 | Other | OH | RRMC |
000000637364 | Other | OH | ANTHEM |
2994014 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 35094500 (Ohio) | 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 W Stuckey 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 W Stuckey, MD 1200 Ralston Ave, Department Of Surgery, Defiance, OH 43512-1396 Ph: (419) 783-6944 | Jordan W Stuckey, MD 1200 Ralston Ave, Department Of Surgery, Defiance, OH 43512-1396 Ph: (419) 783-6944 |
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