| Dr Kevin Theophilus Jordan, MD | |
|
1401 Foucher St, New Orleans, LA 70115-3515 | |
| (504) 897-7794 | |
| (504) 897-7354 |
| Full Name | Dr Kevin Theophilus Jordan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 40 Years |
| Location | 1401 Foucher St, New Orleans, Louisiana |
| 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 |
|---|---|---|---|
| 1922205889 | NPI | - | NPPES |
| 1364371 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35.130562 (Ohio) | Secondary |
| 207P00000X | Emergency Medicine | 018235 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Merit Health Wesley | Hattiesburg, MS | Hospital |
| Ochsner St Mary | Morgan city, LA | Hospital |
| Acadia General Hospital | Crowley, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hattiesburg Hb Medical Services Llc | 6507220167 | 22 |
| Crowley Emergency Group Llc | 1456572965 | 15 |
| St Mary Emergency Group Llc | 7810926995 | 16 |
| Entity Name | App Of Mississippi Ed Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534 |
| Entity Name | Natchez Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770264459 PECOS PAC ID: 8921461286 Enrollment ID: O20230905000471 |
| Entity Name | Hattiesburg Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699456376 PECOS PAC ID: 6507220167 Enrollment ID: O20230914003005 |
| Entity Name | Jackson Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184305856 PECOS PAC ID: 6103273131 Enrollment ID: O20231113001051 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Theophilus Jordan, MD 2411 Killdeer St, New Orleans, LA 70122-4315 Ph: (504) 897-7794 | Dr Kevin Theophilus Jordan, MD 1401 Foucher St, New Orleans, LA 70115-3515 Ph: (504) 897-7794 |
Ms. Misty T Wetzel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 963 Taft Pl, New Orleans, LA 70119 Phone: 504-309-4246 | |
Jasmine Sha'dey Holmes, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2000 Canal Street, D&t Bldg., 2nd Floor, Suite 2720, New Orleans, LA 70112 Phone: 504-702-2287 Fax: 504-702-2500 | |
Dr. Susan Diane Taylor, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Foucher St, New Orleans, LA 70115 Phone: 504-897-2850 | |
Lisa Birdsall Fort, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3460 | |
Ms. Elizabeth Anne Clement, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2020 Gravier St, 7th Floor, New Orleans, LA 70112 Phone: 504-903-3594 | |
Sarah Elizabeth Griffin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Canal St, New Orleans, LA 70112 Phone: 347-271-0784 | |
Colin Devlin, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5022 Laurel St, New Orleans, LA 70115 Phone: 781-696-2226 |