Jordan John Mcgowan, DPT in Roseville, MN - Medicare Physical Therapy Provider

Jordan John Mcgowan, DPT is a medicare enrolled "Physical Therapist" provider in Roseville, Minnesota. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Life Clinic Pa and his current practice location is 1686 Lexington Ave N, Roseville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 835-4512.

Jordan John Mcgowan is licensed to practice in Minnesota (license number 12403) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972270981.

Contact Information

	Jordan John Mcgowan, DPT
	1686 Lexington Ave N, Roseville, MN 55113-6514
	(952) 835-4512
	(888) 425-0398

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan John Mcgowan
Gender	Male
Speciality	Physical Therapy
Experience	3 Years
Location	1686 Lexington Ave N, Roseville, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jordan John Mcgowan graduated from medical school in 2021

NPI Data:

NPI Number: 1972270981
Provider Enumeration Date: 08/26/2021
Last Update Date: 08/26/2021

Medicare PECOS Information:

PECOS PAC ID: 5597161836
Enrollment ID: I20210910002650

Medical Identifiers

Medical identifiers for Jordan John Mcgowan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972270981	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12403 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Life Clinic Pa	5799934857	16

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 John Mcgowan allows following entities to bill medicare on his behalf.

Provider Name	Fairview Express Care
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Provider Name	Life Clinic Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1023296167 PECOS PAC ID: 5799934857 Enrollment ID: O20121004000421

Provider Name	Healtheast Outpatient Services Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1225382526 PECOS PAC ID: 0941447304 Enrollment ID: O20130503000040

Provider Name	Viverant Pt Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1346553179 PECOS PAC ID: 9931529385 Enrollment ID: O20201023000861

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 John Mcgowan 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 John Mcgowan, DPT 7825 3rd St N Ste 105, Oakdale, MN 55128-5403 Ph: (952) 835-4512	Jordan John Mcgowan, DPT 1686 Lexington Ave N, Roseville, MN 55113-6514 Ph: (952) 835-4512

Reviews and Comments

Physical Therapist in Roseville, MN

Mr. Peter Gering Skupeko, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1325 Eldridge Ave W, Roseville, MN 55113 Phone: 651-639-1615 Fax: 651-639-1615
David Anderson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1955 County Road B2 W, Roseville, MN 55113 Phone: 651-697-1313
Amy Sue Andersen, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1970 Oakcrest Ave, Suite 107, Roseville, MN 55113 Phone: 651-636-6330
Rebecca Mae Gilbertson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2945 Lincoln Dr, Roseville, MN 55113 Phone: 651-628-3000
Mr. Frederick Carl Hjelm, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1835 County Road C W, Roseville, MN 55113 Phone: 651-638-0080 Fax: 651-638-0082
Grady Glynn, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3050 Centre Pointe Dr, Suite Number 200, Roseville, MN 55113 Phone: 651-631-4242
Nicholas Daniel Biondich, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1769 Lexington Ave N, 286, Roseville, MN 55113 Phone: 952-835-4512

Jordan John Mcgowan, DPT - Medicare Physical Therapist in Roseville, MN