Mr Charles Jordan, FNP-C | |
2108 W Washington St Ste 100, Stephenville, TX 76401-3928 | |
(254) 587-3848 | |
Not Available |
Full Name | Mr Charles Jordan |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 2108 W Washington St Ste 100, Stephenville, Texas |
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 |
---|---|---|---|
1679033476 | NPI | - | NPPES |
1679033476 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 848612 (Texas) | Secondary |
363L00000X | Nurse Practitioner | AP141070 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Acs Primary Care Physicians Southwest Pa | 1850204363 | 229 |
Texan Family Health Llc | 8729472139 | 2 |
Entity Name | Acs Primary Care Physicians Southwest Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
Entity Name | Emcc Stephenville Family Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841756087 PECOS PAC ID: 9830511534 Enrollment ID: O20200625003014 |
Entity Name | Texan Family Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972255156 PECOS PAC ID: 8729472139 Enrollment ID: O20220301001968 |
Mailing Address | Practice Location Address |
---|---|
Mr Charles Jordan, FNP-C 2350 Highway 16, De Leon, TX 76444-6411 Ph: () - | Mr Charles Jordan, FNP-C 2108 W Washington St Ste 100, Stephenville, TX 76401-3928 Ph: (254) 587-3848 |
Mrs. Julie Marie Ruggles, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2216 W Washington St, Stephenville, TX 76401 Phone: 254-965-5888 | |
Bridgette Bednarz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box T-0360, Stephenville, TX 76402 Phone: 254-968-9271 Fax: 254-968-9723 | |
Mr. Dorothy Saxon, R.N. G.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 River North Blvd, Stephenville, TX 76401 Phone: 254-968-6051 Fax: 254-968-4204 | |
Cortney Fanning, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 River North Blvd, Stephenville, TX 76401 Phone: 254-968-6051 Fax: 254-968-4950 | |
Mallory Brown, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 River North Blvd, Stephenville, TX 76401 Phone: 254-968-6051 | |
Virginia A Lovell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1053 Glen Rose Rd, Stephenville, TX 76401 Phone: 254-485-8298 | |
Melissa Lynne Blue, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2857 W Washington St, Stephenville, TX 76401 Phone: 254-965-5273 |