Hannah M Jordan, DO | |
1188 S State Route 157, Edwardsville, IL 62025-3614 | |
(618) 692-5900 | |
(618) 692-5901 |
Full Name | Hannah M Jordan |
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Gender | Female |
Speciality | Family Medicine |
Location | 1188 S State Route 157, Edwardsville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215507512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 036171102 (Illinois) | Primary |
Entity Name | Hshs Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
Mailing Address | Practice Location Address |
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Hannah M Jordan, DO 1188 S State Route 157, Edwardsville, IL 62025-3614 Ph: (618) 692-5900 | Hannah M Jordan, DO 1188 S State Route 157, Edwardsville, IL 62025-3614 Ph: (618) 692-5900 |
Dr. Sisay Michael Abraham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2122 Troy Rd Ste 130, Edwardsville, IL 62025 Phone: 618-800-4500 Fax: 618-800-4501 | |
Ashley Osborn, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2122 Troy Rd Ste 130, Edwardsville, IL 62025 Phone: 618-800-4500 | |
Michelle P Mulligan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3417 Anderson Healthcare Dr Ste 200, Edwardsville, IL 62025 Phone: 618-288-8500 Fax: 618-288-8501 | |
Dr. Faith Maduka, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2122 Troy Rd, Edwardsville, IL 62025 Phone: 618-800-4500 | |
Dr. Olusegun A Coker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2122 Troy Rd Ste 130, Edwardsville, IL 62025 Phone: 618-800-4500 | |
Gina Marie Vernace, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3417 Anderson Healthcare Dr Ste 200, Edwardsville, IL 62025 Phone: 618-288-8500 Fax: 618-288-8501 |