| Amanda Renee Jordan, MD | |
|
5201 Harry Hines Blvd, House Staff & Gme, Dallas, TX 75235-7708 | |
| (214) 590-8058 | |
| Not Available |
| Full Name | Amanda Renee Jordan |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 20 Years |
| Location | 5201 Harry Hines Blvd, Dallas, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548461080 | NPI | - | NPPES |
| BP1-0023737 | Other | INSTITUTIONAL PERMIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 51706 (Arizona) | Secondary |
| 207P00000X | Emergency Medicine | M7882 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | 17539 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henderson Hospital | Henderson, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fremont Emergency Services Scherr Ltd | 4880684554 | 122 |
| Entity Name | Fremont Emergency Services Scherr Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679550149 PECOS PAC ID: 4880684554 Enrollment ID: O20040514000465 |
| Entity Name | Shadow Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184795874 PECOS PAC ID: 2860667375 Enrollment ID: O20111212000888 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Renee Jordan, MD 8625 E Via De Sereno, Scottsdale, AZ 85258-3935 Ph: (214) 558-3568 | Amanda Renee Jordan, MD 5201 Harry Hines Blvd, House Staff & Gme, Dallas, TX 75235-7708 Ph: (214) 590-8058 |
Bradford Stager Commons, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5201 Harry Hines Blvd, House Staff & Gme, Dallas, TX 75235 Phone: 214-590-8058 | |
Dr. Sandeep Guttikonda, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-648-3916 Fax: 214-648-8423 | |
Jeffrey Szot, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7777 Forest Ln, Dallas, TX 75230 Phone: 972-566-2667 | |
Matthew Tice, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251 Phone: 214-217-1911 | |
Dr. Renjie Michael Li, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13737 Noel Rd, Dallas, TX 75240 Phone: 214-217-1912 | |
Dr. Christian Brewer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7777 Forest Ln, Dallas, TX 75230 Phone: 972-566-7000 | |
James Pierre D'etienne, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Gaston Ave, Dallas, TX 75246 Phone: 214-820-2505 Fax: 214-712-2487 |