Jordan Davis, MD - Medicare Diagnostic Radiology in Fort Meade, SD

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Jordan Davis, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Meade, South Dakota. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 2017 and has 9 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Integris Ambulatory Care Corporation, Northern Arizona Radiology P C, Simonmed Imaging Florida Llc, Mountain Medical Physician Specialists Pc and his current practice location is 113 Comanche Rd, Fort Meade, South Dakota. You can reach out to his office (for appointments etc.) via phone at (999) 999-9999.

Jordan Davis is licensed to practice in Nebraska (license number 31213) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629515697.

Contact Information

Jordan Davis, MD
113 Comanche Rd,
Fort Meade, SD 57741-1002
(999) 999-9999
Not Available

Map and Direction




Physician's Profile

Full NameJordan Davis
GenderMale
SpecialityDiagnostic Radiology
Experience9 Years
Location113 Comanche Rd, Fort Meade, South Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jordan Davis attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1629515697
  • Provider Enumeration Date: 01/27/2017
  • Last Update Date: 08/17/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3870960651
  • Enrollment ID: I20240205001209

Medical Identifiers

Medical identifiers for Jordan Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629515697NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 31213 (Nebraska)Primary
208D00000XGeneral Practice 31213 (Nebraska)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Holy Cross Hospital-jordan ValleyWest jordan, UTHospital
Flagstaff Medical CenterFlagstaff, AZHospital
Holy Cross Hospital-davisLayton, UTHospital
Integris Baptist Medical Center, IncOklahoma city, OKHospital
Verde Valley Medical CenterCottonwood, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integris Ambulatory Care Corporation2365408465687
Northern Arizona Radiology P C488068308520
Simonmed Imaging Florida Llc6608036108302
Mountain Medical Physician Specialists Pc529463940729

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jordan Davis allows following entities to bill medicare on his behalf.
Entity NameIntegris Ambulatory Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750333936
PECOS PAC ID: 2365408465
Enrollment ID: O20140310001414
Entity NameSimonmed Imaging Florida LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477830818
PECOS PAC ID: 6608036108
Enrollment ID: O20160601000665
Entity NameCharleston Radiologists PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811000177
PECOS PAC ID: 9436054715
Enrollment ID: O20160927000549
Entity NameSmi Imaging LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972004489
PECOS PAC ID: 3476696220
Enrollment ID: O20181015000140
Entity NameFlorida Hospital Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073785044
PECOS PAC ID: 0042383200
Enrollment ID: O20220214000929
Entity NameFlorida Radiology Imaging at Lake Mary LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740256494
PECOS PAC ID: 1254311137
Enrollment ID: O20220621003375
Entity NameTexas Radiology Associates LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427016161
PECOS PAC ID: 3779578000
Enrollment ID: O20221119000232
Entity NameFlorida Hospital Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174955256
PECOS PAC ID: 2365679057
Enrollment ID: O20250505000503

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Davis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jordan Davis, MD
113 Comanche Rd,
Fort Meade, SD 57741-1002

Ph: Not Available		Jordan Davis, MD
113 Comanche Rd,
Fort Meade, SD 57741-1002

Ph: (999) 999-9999

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.