Dr Jordan Lee Wallin, MD is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in St George, Utah. He went to George Washington University School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Otolaryngology. His current practice location is
446 S Mall Dr Ste B1, St George, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 627-8150.
Dr Jordan Lee Wallin is licensed to practice in North Carolina (license number 2008-01743) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811177652.
Physician's Profile
| Full Name | Dr Jordan Lee Wallin |
|---|
| Gender | Male |
|---|
| Speciality | Otolaryngology |
|---|
| Experience | 7 Years |
|---|
| Location | 446 S Mall Dr Ste B1, St George, Utah |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Jordan Lee Wallin attended and graduated from George Washington University School Of Medicine in 2017
NPI Data:
- NPI Number: 1811177652
- Provider Enumeration Date: 11/09/2007
- Last Update Date: 10/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 8729235999
- Enrollment ID: I20190723003845
Medical Identifiers
Medical identifiers for Dr Jordan Lee Wallin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811177652 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 2008-01743 (North Carolina) | Secondary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 2008-01743 (North Carolina) | Primary |
Medical Facilities Affiliation
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. Dr Jordan Lee Wallin allows following entities to bill medicare on his behalf.
| Entity Name | Desert Bloom Plastic Surgery Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1235691510
PECOS PAC ID: 9638405079
Enrollment ID: O20190723003828 |
|---|
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. Dr Jordan Lee Wallin 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 |
|---|
Dr Jordan Lee Wallin, MD
446 S Mall Dr Ste B1,
St George, UT 84790-4945
Ph: (435) 627-8150 | Dr Jordan Lee Wallin, MD
446 S Mall Dr Ste B1,
St George, UT 84790-4945
Ph: (435) 627-8150 |
Reviews and Comments