| James C Jordan, MD | |
|
37868 Us Highway 18, Prairie Du Chien, WI 53821-8416 | |
| (608) 357-2430 | |
| Not Available |
| Full Name | James C Jordan |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 37868 Us Highway 18, Prairie Du Chien, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811962574 | NPI | - | NPPES |
| 47042628511 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23393 (Nebraska) | Primary |
| Entity Name | Alegent Creighton Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598811069 PECOS PAC ID: 1951210418 Enrollment ID: O20040116000817 |
| Mailing Address | Practice Location Address |
|---|---|
| James C Jordan, MD 37868 Us Highway 18, Prairie Du Chien, WI 53821-8416 Ph: (608) 357-2430 | James C Jordan, MD 37868 Us Highway 18, Prairie Du Chien, WI 53821-8416 Ph: (608) 357-2430 |
Walter R Boisvert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 E Taylor St, Prairie Du Chien, WI 53821 Phone: 608-326-6466 | |
Michael J Rogge, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Blackhawk Ave, Prairie Du Chien, WI 53821 Phone: 608-326-0808 Fax: 608-326-0810 | |
Ann L Grunwald, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 304 S Jackson St, Prairie Du Chien, WI 53821 Phone: 608-326-5459 | |
Dr. Mark A Grunwald, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 304 S Jackson St, Prairie Du Chien, WI 53821 Phone: 608-326-5459 | |
Kurt J Jorgensen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 610 E Taylor St, Prairie Du Chien, WI 53821 Phone: 608-326-6466 | |
Jasmin Rochell Morrison, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 E Taylor St, Prairie Du Chien, WI 53821 Phone: 608-326-6466 | |
Christopher J Mees, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 E Taylor St, Prairie Du Chien, WI 53821 Phone: 608-326-6466 |