Jordan Lee Dutter, MD is a medicare enrolled "Family Medicine" physician in Flora, Indiana. He went to Wright State University Boonshoft School Of Medicine and graduated in 2000 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Unity Healthcare Llc and his current practice location is
203 N Division St, Flora, Indiana. You can reach out to his office (for appointments etc.) via phone at
(574) 967-4523.
Jordan Lee Dutter is licensed to practice in Indiana (license number 01056529A) 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 1730157835.
Physician's Profile
| Full Name | Jordan Lee Dutter |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 25 Years |
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| Location | 203 N Division St, Flora, Indiana |
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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. |
Medical Education and Training:
- Jordan Lee Dutter attended and graduated from Wright State University Boonshoft School Of Medicine in 2000
NPI Data:
- NPI Number: 1730157835
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 02/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 2567530447
- Enrollment ID: I20081006000158
Medical Identifiers
Medical identifiers for Jordan Lee Dutter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730157835 | NPI | - | NPPES |
| 9397025 | Other | IN | PHCS PID NUMBER |
| 200399760 | Medicaid | IN | |
| 11319868 | Other | IN | CAQH NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 01056529A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Unity Healthcare Llc | 0244123362 | 52 |
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 Lee Dutter allows following entities to bill medicare on his behalf.
| Entity Name | Arnett Clinic, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
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| Entity Name | Unity Healthcare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619929098 PECOS PAC ID: 0244123362 Enrollment ID: O20040203001083 |
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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 Lee Dutter 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 |
Jordan Lee Dutter, MD Po Box 4699, Lafayette, IN 47903-4699 Ph: (765) 449-2732 | Jordan Lee Dutter, MD 203 N Division St, Flora, IN 46929-1024 Ph: (574) 967-4523 |
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