Phillip Jordan, | |
600 Gresham Dr, Raleigh Building, Suite 304, Norfolk, VA 23507-1904 | |
(757) 388-3397 | |
(757) 388-2885 |
Full Name | Phillip Jordan |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 7 Years |
Location | 600 Gresham Dr, Norfolk, Virginia |
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 |
---|---|---|---|
1801327812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0101269116 (Virginia) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Sentara Martha Jefferson Hospital | Charlottesville, VA | Hospital |
Sentara Virginia Beach General Hospital | Virginia beach, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency Physicians Of Tidewater | 5092618462 | 136 |
Entity Name | Emergency Physicians Of Tidewater |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033136841 PECOS PAC ID: 5092618462 Enrollment ID: O20040202000195 |
Entity Name | Mep Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164483558 PECOS PAC ID: 5193610319 Enrollment ID: O20171212002233 |
Entity Name | Observation Physicians Of Tidewater |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306590450 PECOS PAC ID: 8123401429 Enrollment ID: O20220819000428 |
Mailing Address | Practice Location Address |
---|---|
Phillip Jordan, 6379 Center Dr, Norfolk, VA 23502-4102 Ph: (757) 388-3397 | Phillip Jordan, 600 Gresham Dr, Raleigh Building, Suite 304, Norfolk, VA 23507-1904 Ph: (757) 388-3397 |
Ruth Gordon, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6379 Center Dr, Norfolk, VA 23502 Phone: 757-467-4200 | |
Miss Kaci Elizabeth Gogel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Rm 304, Emergency Department, Norfolk, VA 23507 Phone: 757-388-3397 Fax: 757-388-2885 | |
Dr. Benjamin Lee Chidester, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Gresham Drive, Norfolk, VA 23507 Phone: 757-388-3000 | |
Dr. Moses Tucker Laffitte Iv, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Gresham Drive, Norfolk, VA 23507 Phone: 757-388-3000 | |
Theodore Tzavaras, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Suite 304, Norfolk, VA 23507 Phone: 757-388-3397 | |
Ronald Christopher Fenton, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1775 Forrestal Drive Bldg Nh-33, Norfolk, VA 23551 Phone: 757-953-1552 | |
Dr. Clay Kingsley Lifton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Raleigh Building Room 304, Norfolk, VA 23507 Phone: 757-388-3397 |