Dr Jennifer Jordan Lander, P T is a
Physical Therapist - Pediatrics based in Pembroke, Georgia. Dr Jennifer Jordan Lander is licensed to practice in * (Not Available) (license number ) and her current practice location is
163 Winding Way, Pembroke, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 547-0181.
NPI number for Dr Jennifer Jordan Lander is 1649225624 and her current mailing address is Po Box 39, Pembroke, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649225624.
Healthcare Provider's Profile
| Full Name | Dr Jennifer Jordan Lander |
|---|
| Gender | Female |
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| Speciality | Physical Therapist - Pediatrics |
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| Location | 163 Winding Way, Pembroke, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649225624
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 02/24/2010
Medical Identifiers
Medical identifiers for Dr Jennifer Jordan Lander such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649225624 | NPI | - | NPPES |
| 000859075A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Primary |
| 2251N0400X | Physical Therapist - Neurology | 4288 (Georgia) | Secondary |
| 225100000X | Physical Therapist | 4288 (Georgia) | Secondary |
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. Dr Jennifer Jordan Lander is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jennifer Jordan Lander, P T
Po Box 39,
Pembroke, GA 31321-0039
Ph: (912) 653-4863 | Dr Jennifer Jordan Lander, P T
163 Winding Way,
Pembroke, GA 31321-5535
Ph: (912) 547-0181 |
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