Milan Jordan, MD | |
2300 Western Ave, Manitowoc, WI 54220-3712 | |
(920) 320-3165 | |
(930) 320-3169 |
Full Name | Milan Jordan |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 29 Years |
Location | 2300 Western Ave, Manitowoc, Wisconsin |
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 |
---|---|---|---|
1649264441 | NPI | - | NPPES |
34516300 | Medicaid | WI | |
208600000X | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 32315 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Holy Family Memorial | Manitowoc, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Froedtert Manitowoc Medical Group, Llc | 2365836954 | 118 |
Entity Name | Froedtert Manitowoc Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
Mailing Address | Practice Location Address |
---|---|
Milan Jordan, MD Po Box 2290, Manitowoc, WI 54221-2290 Ph: (920) 320-2591 | Milan Jordan, MD 2300 Western Ave, Manitowoc, WI 54220-3712 Ph: (920) 320-3165 |
Dr. Matthew Mcfarlane, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-3185 | |
Terry Gueldner, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 940 Maritime Dr, Suite 4, Manitowoc, WI 54220 Phone: 920-686-7900 Fax: 920-686-7985 | |
Matthew Campbell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-3165 | |
Sean Thomas Benham, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1765 N 18th St, Manitowoc, WI 54221 Phone: 920-482-0575 Fax: 920-482-0579 |