| Jordan E Dicken, | |
|
1000 N 16th St Ste 240, New Castle, IN 47362-4319 | |
| (765) 521-1461 | |
| (765) 599-3101 |
| Full Name | Jordan E Dicken |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1000 N 16th St Ste 240, New Castle, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073019659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 71007886A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71007886A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry County Memorial Hospital | New castle, IN | Hospital |
| Ascension St Vincent Heart Center | Carmel, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New Castle Clinic Inc | 3274528757 | 33 |
| St Vincent Medical Group Inc | 7012047640 | 728 |
| Entity Name | Indiana University Health Ball Memorial Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
| Entity Name | New Castle Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346448768 PECOS PAC ID: 3274528757 Enrollment ID: O20070816000444 |
| Entity Name | St Vincent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan E Dicken, Po Box 485, New Castle, IN 47362-0485 Ph: (765) 521-1516 | Jordan E Dicken, 1000 N 16th St Ste 240, New Castle, IN 47362-4319 Ph: (765) 521-1461 |