Douglas A Jordan Jr, DPM | |
11528 Us Highway 19, Port Richey, FL 34668-1442 | |
(727) 868-2151 | |
(727) 868-7379 |
Full Name | Douglas A Jordan Jr |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 34 Years |
Location | 11528 Us Highway 19, Port Richey, Florida |
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 |
---|---|---|---|
1518945500 | NPI | - | NPPES |
102751 | Other | FL | AVMED |
10593101 | Other | FL | CITRUS GCMCI |
480018908 | Other | FL | RAILROAD MEDICARE |
65211 | Other | FL | BLUE CROSS BLUE SHIELD FLORIDA |
985373 | Other | FL | UNITED HEALTH CARE |
01352 | Other | FL | UNIVERSAL HEALTH CARE |
10593102 | Other | FL | CITRUS GCMCII |
057053200 | Medicaid | FL | |
6200309 | Other | FL | GHI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | PO 2114 (Florida) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO 2114 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pinnacle Home Care Inc | Trinity, FL | Home health agency |
Keystone Home Health Inc | Clearwater, FL | Home health agency |
Pinnacle Home Care Of Spring Hill Inc | Spring hill, FL | Home health agency |
Regional Medical Center Bayonet Point | Hudson, FL | Hospital |
Medical Center Of Trinity | Trinity, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sms Do Pa | 0143207530 | 25 |
Provider Name | Sms Do Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346244100 PECOS PAC ID: 0143207530 Enrollment ID: O20040714000085 |
Mailing Address | Practice Location Address |
---|---|
Douglas A Jordan Jr, DPM 11528 Us Highway 19, Port Richey, FL 34668-1442 Ph: (727) 868-2151 | Douglas A Jordan Jr, DPM 11528 Us Highway 19, Port Richey, FL 34668-1442 Ph: (727) 868-2151 |
Peter B Williams Dpm Cws Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 10148 Us Highway 19, Port Richey, FL 34668 Phone: 727-869-9191 Fax: 727-734-1808 | |
Peter B Williams, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 10148 Us Highway 19, Port Richey, FL 34668 Phone: 727-869-9191 Fax: 727-869-9220 |