| Adam Tyler Jordan, DO | |
|
600 Mary St, Evansville, IN 47747-0001 | |
| (812) 450-3036 | |
| (812) 450-2193 |
| Full Name | Adam Tyler Jordan |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 7 Years |
| Location | 600 Mary St, Evansville, Indiana |
| 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 |
|---|---|---|---|
| 1104321090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 02006367A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Twin Lakes Regional Medical Center | Leitchfield, KY | Hospital |
| Owensboro Health Regional Hospital | Owensboro, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Owensboro Health Medical Group Inc | 0648255034 | 435 |
| Entity Name | Owensboro Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235518242 PECOS PAC ID: 0648255034 Enrollment ID: O20040621000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Tyler Jordan, DO Po Box 3407, Evansville, IN 47733-3407 Ph: (812) 450-3036 | Adam Tyler Jordan, DO 600 Mary St, Evansville, IN 47747-0001 Ph: (812) 450-3036 |
David A Craig, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 545 S Boehne Camp Rd, Evansville, IN 47712 Phone: 812-429-1818 Fax: 812-426-9564 | |
Dr. Samata Pathireddy, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-7338 Fax: 812-450-2193 | |
Dr. Brian J Chaffin, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-3036 Fax: 812-450-2193 | |
Rekha Tummala, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Mary St, Evansville, IN 47747 Phone: 812-540-7338 Fax: 812-450-2193 | |
Dr. Joseph Mansour, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Mary St, Evansville, IN 47747 Phone: 812-450-7338 Fax: 812-450-2193 | |
Emanuela Didita, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-7338 Fax: 812-450-2193 |