| Jordan Southern, | |
|
3 Hospital Dr, Lewisburg, PA 17837-9362 | |
| (570) 523-3900 | |
| Not Available |
| Full Name | Jordan Southern |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 11 Years |
| Location | 3 Hospital Dr, Lewisburg, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730575879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD471223 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Evangelical Community Hospital | Lewisburg, PA | Hospital |
| Geisinger Medical Center | Danville, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 1824 |
| Evangelical Medical Services Organization | 9133033087 | 241 |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Entity Name | Evangelical Medical Services Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205928967 PECOS PAC ID: 9133033087 Enrollment ID: O20040310000212 |
| Entity Name | Geisinger-hm Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Southern, 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Jordan Southern, 3 Hospital Dr, Lewisburg, PA 17837-9362 Ph: (570) 523-3900 |
David Clinton Weibel, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 3 Hospital Dr, Suite 306, Lewisburg, PA 17837 Phone: 570-523-3900 Fax: 570-523-3834 | |
Darshan Kumar Bhangdia, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3 Hospital Dr, Suite 306, Lewisburg, PA 17837 Phone: 570-523-3900 Fax: 570-523-3834 | |
Dr. James L. Stefanelli, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3 Hospital Dr Ste 318, Lewisburg, PA 17837 Phone: 570-523-3900 |