Jordan Klebanoff, is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Newtown Square, Pennsylvania. He went to Temple University School Of Medicine and graduated in 2014 and has 12 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Main Line Healthcare and his current practice location is
3855 W Chester Pike Ste 340, Newtown Square, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(484) 227-9680.
Jordan Klebanoff is licensed to practice in Pennsylvania (license number MD470445) 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 1437578655.
Physician's Profile
| Full Name | Jordan Klebanoff |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 12 Years |
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| Location | 3855 W Chester Pike Ste 340, Newtown Square, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jordan Klebanoff attended and graduated from Temple University School Of Medicine in 2014
NPI Data:
- NPI Number: 1437578655
- Provider Enumeration Date: 04/15/2014
- Last Update Date: 05/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 1254550783
- Enrollment ID: I20200708000032
Medical Identifiers
Medical identifiers for Jordan Klebanoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437578655 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | MD046048 (District Of Columbia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | MD470445 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Main Line Healthcare | 1951215201 | 1029 |
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 Klebanoff allows following entities to bill medicare on his behalf.
| Entity Name | Main Line Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922077643
PECOS PAC ID: 1951215201
Enrollment ID: O20040308000373 |
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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 Klebanoff 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 Address | Practice Location Address |
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Jordan Klebanoff,
3803 W Chester Pike Ste 160,
Newtown Square, PA 19073-2336
Ph: (484) 337-1632 | Jordan Klebanoff,
3855 W Chester Pike Ste 340,
Newtown Square, PA 19073-2304
Ph: (484) 227-9680 |
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