| Dr Theodore Foster Jordan Iii, MD | |
|
601 Keyser Ave, Natchitoches, LA 71457-6020 | |
| (318) 214-5770 | |
| Not Available |
| Full Name | Dr Theodore Foster Jordan Iii |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 39 Years |
| Location | 601 Keyser Ave, Natchitoches, 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 |
|---|---|---|---|
| 1528067915 | NPI | - | NPPES |
| 00125687 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD.323324 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Natchitoches Regional Medical Center | Natchitoches, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nrmc Physician Ipa Inc | 9234400300 | 29 |
| Entity Name | Nrmc Physician Ipa Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497283733 PECOS PAC ID: 9234400300 Enrollment ID: O20170808001651 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theodore Foster Jordan Iii, MD Po Box 2475, Natchitoches, LA 71457-2475 Ph: (318) 663-6131 | Dr Theodore Foster Jordan Iii, MD 601 Keyser Ave, Natchitoches, LA 71457-6020 Ph: (318) 214-5770 |
Mr. Steven Michael Kautz, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1029 Keyser Avenue, Natchitoches, LA 71457 Phone: 318-238-6001 Fax: 318-238-6002 | |
Dr. John Pettey Sandifer, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 213 South Drive, Natchitoches, LA 71457 Phone: 318-352-6120 Fax: 318-352-6061 | |
Justin Nilsson Duke, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 Keyser Ave, Natchitoches, LA 71457 Phone: 318-238-4511 Fax: 318-238-4513 |