| Benjamin Edward Jordan, MD | |
|
210 25th Ave N, Suite 602, Nashville, TN 37203 | |
| (615) 312-0600 | |
| (615) 320-3259 |
| Full Name | Benjamin Edward Jordan |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 16 Years |
| Location | 210 25th Ave N, Nashville, Tennessee |
| 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 |
|---|---|---|---|
| 1669606992 | NPI | - | NPPES |
| 04357014 | Medicaid | MS | |
| 511-61752 | Other | AL | BLUE CROSS BLUE SHIELD |
| Q006343 | Medicaid | TN | |
| 172629 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 34238 (Alabama) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 51300 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health - West Hospital | Cincinnati, OH | Hospital |
| Mercy Health - Fairfield Hospital | Fairfield, OH | Hospital |
| Mercy Health - Clermont Hospital | Batavia, OH | Hospital |
| Mercy St Vincent Medical Center | Toledo, OH | Hospital |
| Adena Regional Medical Center | Chillicothe, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbus Radiology Corp | 6507754983 | 255 |
| Columbus Radiology Corp | 6507754983 | 255 |
| Entity Name | Columbus Radiology Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20170306001343 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Edward Jordan, MD 601 Dodds Ave, Chattanooga, TN 37404-3911 Ph: (866) 730-5619 | Benjamin Edward Jordan, MD 210 25th Ave N, Suite 602, Nashville, TN 37203 Ph: (615) 312-0600 |
Dr. Paul Allen Rosenblatt, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 4220 Harding Road, Rudy Cancer Center, Nashville, TN 37205 Phone: 615-222-6755 Fax: 615-222-3567 | |
Arthur Fleischer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 Tvc, Nashville, TN 37232 Phone: 615-322-3000 | |
Dr. Cari L Motuzas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1161 21st Ave S, Ccc-1121 Med Ctr N, Department Of Radiology, Nashville, TN 37232 Phone: 615-322-3780 | |
John O Nunes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 25th Ave N Ste 1204, Nashville, TN 37203 Phone: 615-312-0600 | |
Dr. Christopher C Ng, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 25th Ave N Ste 1204, Nashville, TN 37203 Phone: 615-312-0600 | |
Jennifer Leslie Robinson Williams, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Dr. Robert J Stallworth, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 210 25th Ave N Ste 602, Nashville, TN 37203 Phone: 615-312-0600 Fax: 615-320-3259 |