| Dr Roger Wayne Jordan Jr, MD | |
|
200 1st St Sw, Rochester, MN 55905-0001 | |
| (507) 284-2511 | |
| (000) 000-0000 |
| Full Name | Dr Roger Wayne Jordan Jr |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 10 Years |
| Location | 200 1st St Sw, Rochester, Minnesota |
| 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 |
|---|---|---|---|
| 1073992566 | NPI | - | NPPES |
| BP10052905 | Other | TX | TEXAS MEDICAL BOARD PHYCIAN-IN-TRAINING PERMIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 66463 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beverly Radiology Medical Group Iii | 3476466376 | 307 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20151028002416 |
| Entity Name | Pro Radiology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164966461 PECOS PAC ID: 1052696432 Enrollment ID: O20170327002470 |
| Entity Name | M & B Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932624723 PECOS PAC ID: 1557623782 Enrollment ID: O20180327002648 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roger Wayne Jordan Jr, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Dr Roger Wayne Jordan Jr, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 |
Michael Bold, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Allison E Garda, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Tanner Henrie, Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Michael Leigh Wells, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Philippe Couillard, Radiology Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Scott Christopher Lester, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Mayo Clinic, 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 Fax: 507-284-0702 | |
Motassem Billah Nashawaty, MD Radiology Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |