Diane Jordan-wagner, MD - Medicare Internal Medicine in Terre Haute, IN

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Diane Jordan-wagner, MD is a medicare enrolled "Internal Medicine - Allergy & Immunology" physician in Terre Haute, Indiana. Her current practice location is 1429 N 6th St, Terre Haute, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 232-0564.

Diane Jordan-wagner is licensed to practice in Indiana (license number 01056292A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013025097.

Contact Information

Diane Jordan-wagner, MD
1429 N 6th St,
Terre Haute, IN 47804-1037
(812) 232-0564
(812) 235-3330

Map and Direction




Physician's Profile

Full NameDiane Jordan-wagner
GenderFemale
SpecialityInternal Medicine - Allergy & Immunology
Location1429 N 6th St, Terre Haute, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013025097
  • Provider Enumeration Date: 08/29/2006
  • Last Update Date: 03/14/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1153213723
  • Enrollment ID: I20040327000418

Medical Identifiers

Medical identifiers for Diane Jordan-wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013025097NPI-NPPES
030005377OtherRAILROAD MCARE PALAMETTO
200392780MedicaidIN
P00844293OtherINRAILROAD MEDICARE
000000230225OtherANTHEM
200392780QMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RA0201XInternal Medicine - Allergy & Immunology 01056292A (Indiana)Primary
207RA0201XInternal Medicine - Allergy & Immunology 36106006 (Illinois)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Diane Jordan-wagner allows following entities to bill medicare on her behalf.
Entity NameUnion Associated Physicians Clinic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891028379
PECOS PAC ID: 3375687437
Enrollment ID: O20100213000002

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. Diane Jordan-wagner 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 AddressPractice Location Address
Diane Jordan-wagner, MD
221 S 6th St,
Terre Haute, IN 47807-4214

Ph: (812) 232-0564		Diane Jordan-wagner, MD
1429 N 6th St,
Terre Haute, IN 47804-1037

Ph: (812) 232-0564

Reviews and Comments


Internal Medicine Doctors in Terre Haute, IN

Sean James Kennedy, DO
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1530 N 7th St Ste 200, Terre Haute, IN 47807
Phone: 812-238-7631    
Casey E Jacobs-campbell, FNP-BC
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1801 N 6th St, Terre Haute, IN 47804
Phone: 812-238-4708    
Imad George Koj, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3903 S 7th St, Ste 2e, Terre Haute, IN 47802
Phone: 812-235-7370    Fax: 812-235-7570
Sudha Patel, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6288 S Frye St, Terre Haute, IN 47802
Phone: 812-894-2130    
Dr. Dipen V Shah, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1332 N 7th St, Terre Haute, IN 47807
Phone: 812-478-8888    Fax: 812-478-1114
Dr. Tony K. Nasser, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2723 S 7th Street, Suite A, Terre Haute, IN 47802
Phone: 812-232-8164    Fax: 812-234-6391

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.