Jordan R Divine, in Loogootee, IN

Jordan R Divine, is a medicare enrolled "Chiropractor" provider in Loogootee, Indiana. His current practice location is 404 N John F Kennedy Ave, Loogootee, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 295-5600.

Jordan R Divine is licensed to practice in Indiana (license number 08002579A) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1407146582.

Contact Information

	Jordan R Divine,
	404 N John F Kennedy Ave, Loogootee, IN 47553-1219
	(812) 295-5600
	(812) 295-5700

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan R Divine
Gender	Male
Speciality
Experience	Years
Location	404 N John F Kennedy Ave, Loogootee, Indiana
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jordan R Divine attended and graduated from in

NPI Data:

NPI Number: 1407146582
Provider Enumeration Date: 04/11/2011
Last Update Date: 06/28/2011

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Jordan R Divine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407146582	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	08002579A (Indiana)	Primary

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 R Divine 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 R Divine, 407 E Main St, Loogootee, IN 47553-1241 Ph: () -	Jordan R Divine, 404 N John F Kennedy Ave, Loogootee, IN 47553-1219 Ph: (812) 295-5600

Reviews and Comments

Chiropractor in Loogootee, IN

L Brooke Hawkins Dc Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 211 Se 1st St, Loogootee, IN 47553 Phone: 812-295-3346
Mr. Philip J Sewell, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1102 W Broadway, Loogootee, IN 47553 Phone: 812-295-2387 Fax: 812-295-5850
Kirsten Karol Hughes, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1 Loogootee Plz, Loogootee, IN 47553 Phone: 812-295-3346
Dr. Matthew Thomas Kirkland, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1 Loogootee Plz, Loogootee, IN 47553 Phone: 812-295-3346
Annemie Smith, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1 Loogootee Plz, Loogootee, IN 47553 Phone: 812-295-3346
Dr. Leslie B Hawkins, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 211 Se 1st St, Loogootee, IN 47553 Phone: 812-295-3346 Fax: 812-295-4259

Jordan R Divine, - Medicare Chiropractor in Loogootee, IN