Jordan Tichenor, | |
8604 Giles Rd, La Vista, NE 68128 | |
(402) 559-6637 | |
(402) 559-8333 |
Full Name | Jordan Tichenor |
---|---|
Gender | Female |
Speciality | Infectious Disease |
Experience | 9 Years |
Location | 8604 Giles Rd, La Vista, Nebraska |
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 |
---|---|---|---|
1003299827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | R10373 (Iowa) | Secondary |
207R00000X | Internal Medicine | 1770 (Nebraska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
Essentia Health Duluth | Duluth, MN | Hospital |
Essentia Health St Joseph's Medical Center | Brainerd, MN | Hospital |
Essentia Health Virginia | Virginia, MN | Hospital |
Spooner Health System | Spooner, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Duluth Clinic Ltd | 2567374283 | 932 |
Entity Name | The Duluth Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
Mailing Address | Practice Location Address |
---|---|
Jordan Tichenor, 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 Ph: () - | Jordan Tichenor, 8604 Giles Rd, La Vista, NE 68128 Ph: (402) 559-6637 |
Jennifer Medlin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8604 Giles Rd, La Vista, NE 68128 Phone: 402-559-0000 Fax: 402-559-0001 | |
Michael Fulton, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8248 S 96th St, La Vista, NE 68128 Phone: 402-717-9500 Fax: 402-717-9501 | |
Kristen Fulton, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8248 S 96th St, La Vista, NE 68128 Phone: 402-717-9500 Fax: 402-717-9501 | |
Kristee Zoloty, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8074 S 84th St, La Vista, NE 68128 Phone: 402-593-1700 Fax: 402-593-9905 |