Marlon D Jordan, MD | |
1418 College Dr, Mount Carmel, IL 62863-2638 | |
(618) 240-2740 | |
(618) 263-6479 |
Full Name | Marlon D Jordan |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 44 Years |
Location | 1418 College Dr, Mount Carmel, Illinois |
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 |
---|---|---|---|
1467415117 | NPI | - | NPPES |
000000042524 | Other | ANTHEM | |
64756620 | Medicaid | KY | |
100343920A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 01030224A (Indiana) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 036082355 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wabash General Hospital 1 | Mount carmel, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wabash General Hospital District | 8022908185 | 49 |
Entity Name | Wabash General Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295834208 PECOS PAC ID: 8022908185 Enrollment ID: O20040319001265 |
Entity Name | Ferrell Hospital Community Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194713404 PECOS PAC ID: 1355389453 Enrollment ID: O20090630000256 |
Entity Name | Deaconess Specialty Physicians, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003317785 PECOS PAC ID: 0244595205 Enrollment ID: O20180523001150 |
Mailing Address | Practice Location Address |
---|---|
Marlon D Jordan, MD 1418 College Dr, Mount Carmel, IL 62863-2638 Ph: (618) 240-2740 | Marlon D Jordan, MD 1418 College Dr, Mount Carmel, IL 62863-2638 Ph: (618) 240-2740 |
Dr. Narendra H Anadkat, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1123 Chestnut St, Mount Carmel, IL 62863 Phone: 618-263-4376 Fax: 618-262-7970 | |
Dr. Siddharth B Jani, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1106 Oak St, Mount Carmel, IL 62863 Phone: 618-263-6575 Fax: 618-262-4468 | |
Dr. Lawrence P Jennings, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1430 College Dr, Suite A, Mount Carmel, IL 62863 Phone: 618-262-5113 |