Jordan Tichenor, is a medicare enrolled "Internal Medicine - Infectious Disease" provider in Duluth, Minnesota. She went to Lincoln Memorial University Medical Department and graduated in 2015 and has 9 years of diverse experience with area of expertise as Infectious Disease. She is a member of the group practice The Duluth Clinic Ltd and her current practice location is
400 E 3rd St, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 786-3737.
Jordan Tichenor is licensed to practice in Minnesota (license number 71017) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003299827.
Healthcare Provider's Profile
Full Name | Jordan Tichenor |
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Gender | Female |
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Speciality | Infectious Disease |
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Experience | 9 Years |
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Location | 400 E 3rd St, Duluth, Minnesota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jordan Tichenor attended and graduated from Lincoln Memorial University Medical Department in 2015
NPI Data:
- NPI Number: 1003299827
- Provider Enumeration Date: 06/30/2015
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315253713
- Enrollment ID: I20220718001778
Medical Identifiers
Medical identifiers for Jordan Tichenor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003299827 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1835I0206X | Pharmacist - Infectious Diseases | 77711 (Wisconsin) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 71017 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
The Duluth Clinic Ltd | 2567374283 | 949 |
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 Tichenor allows following entities to bill medicare on her behalf.
Entity Name | The Duluth Clinic Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
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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 Tichenor 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 |
Jordan Tichenor, 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8895 | Jordan Tichenor, 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-3737 |
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