Jordan W Stuckey, MD is a medicare enrolled "Anesthesiology" physician in Defiance, Ohio. He went to Georgetown University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Promedica Central Physicians and 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 | Anesthesiology |
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| Experience | 19 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. |
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Medical Education and Training:
- Jordan W Stuckey attended and graduated from Georgetown University School Of Medicine in 2005
NPI Data:
- NPI Number: 1205983012
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 11/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375682073
- Enrollment ID: I20091209000012
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Promedica Central Physicians | 2365348190 | 827 |
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 W Stuckey allows following entities to bill medicare on his behalf.
| Entity Name | Promedica Central Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043270150
PECOS PAC ID: 2365348190
Enrollment ID: O20031211000226 |
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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 |
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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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