| Dr Mark Vernon Jordan, MD | |
|
240 Hospital Dr Ne, Bolivia, NC 28422-8346 | |
| (910) 721-2070 | |
| (910) 721-2074 |
| Full Name | Dr Mark Vernon Jordan |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 27 Years |
| Location | 240 Hospital Dr Ne, Bolivia, North Carolina |
| 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 |
|---|---|---|---|
| 1881772309 | NPI | - | NPPES |
| 14620 | Other | NC | BCBS |
| 5907603 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2007-01129 (North Carolina) | Secondary |
| 208M00000X | Hospitalist | 2007-01129 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeastern Regional Medical Center | Lumberton, NC | Hospital |
| Pender Memorial Hospital | Burgaw, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Robeson Hospitalist Group Pllc | 2567898430 | 26 |
| Novant Health Medical Group Coastal Region Llc | 2860809936 | 462 |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | Cogent Healthcare Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548207483 PECOS PAC ID: 7911954714 Enrollment ID: O20050404001057 |
| Entity Name | Columbus Regional Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508001009 PECOS PAC ID: 6608924931 Enrollment ID: O20090424000511 |
| Entity Name | Scotland Regional Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972829562 PECOS PAC ID: 2365573185 Enrollment ID: O20100623000242 |
| Entity Name | Robeson Hospitalist Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336782507 PECOS PAC ID: 2567898430 Enrollment ID: O20200212002903 |
| Entity Name | Novant Health Medical Group Coastal Region Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649865791 PECOS PAC ID: 2860809936 Enrollment ID: O20210408000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Vernon Jordan, MD 300 W 27th St, Lumberton, NC 28358-3075 Ph: (910) 671-5000 | Dr Mark Vernon Jordan, MD 240 Hospital Dr Ne, Bolivia, NC 28422-8346 Ph: (910) 721-2070 |
Dr. Chandana Bhimmanapalli, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-2070 Fax: 910-721-2074 |