Dr Jordan Maxwell, DO in Lafayette, IN

Dr Jordan Maxwell, DO is a medicare enrolled "Surgery" physician in Lafayette, Indiana. Her current practice location is 1701 S Creasy Ln, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 502-4780.

Dr Jordan Maxwell is licensed to practice in Indiana (license number 02007042A) 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 1356790851.

Contact Information

	Dr Jordan Maxwell, DO
	1701 S Creasy Ln, Lafayette, IN 47905-4972
	(765) 502-4780
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jordan Maxwell
Gender	Female
Speciality	Surgery
Location	1701 S Creasy Ln, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356790851
Provider Enumeration Date: 06/07/2016
Last Update Date: 08/11/2025

Medicare PECOS Information:

PECOS PAC ID: 6305134107
Enrollment ID: I20230706003416

Medical Identifiers

Medical identifiers for Dr Jordan Maxwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356790851	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	5101022569 (Michigan)	Secondary
2086S0122X	Surgery - Plastic And Reconstructive Surgery	5101025758 (Michigan)	Secondary
208600000X	Surgery	02007042A (Indiana)	Primary

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 Maxwell allows following entities to bill medicare on her behalf.

Entity Name	Ameriwound Physicians Il Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104245893 PECOS PAC ID: 2860616299 Enrollment ID: O20140605000079

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 Maxwell 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 Maxwell, DO Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Dr Jordan Maxwell, DO 1701 S Creasy Ln, Lafayette, IN 47905-4972 Ph: (765) 502-4780

Reviews and Comments

Surgery Doctors in Lafayette, IN

David Halter, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl, Suite 235, Lafayette, IN 47905 Phone: 765-446-5065 Fax: 765-446-5170
Richard C Berg Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8027
Gerritt F Smith, MD Surgery Medicare: Medicare Enrolled Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-423-6690 Fax: 765-423-6691
Dr. Surya Ramachandran Kumar, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 317-923-1787 Fax: 317-962-0853
Dr. Ruban Nirmalan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8027
John E Francis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl, Suite 235, Lafayette, IN 47905 Phone: 765-446-5065 Fax: 765-446-5170

Dr Jordan Maxwell, DO - Medicare Surgery in Lafayette, IN