Larry Keith Jordan, MD in Eden Prairie, MN

Larry Keith Jordan, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Eden Prairie, Minnesota. His current practice location is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 595-1301.

Larry Keith Jordan is licensed to practice in Texas (license number L4011) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255312740.

Contact Information

	Larry Keith Jordan, MD
	11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349
	(952) 595-1301
	(612) 294-4903

Map and Direction

Physician's Profile

Full Name	Larry Keith Jordan
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	11995 Singletree Ln Ste 500, Eden Prairie, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255312740
Provider Enumeration Date: 11/10/2005
Last Update Date: 01/28/2021

Medicare PECOS Information:

PECOS PAC ID: 6305929357
Enrollment ID: I20080520000733

Medical Identifiers

Medical identifiers for Larry Keith Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255312740	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	L4011 (Texas)	Primary

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. Larry Keith Jordan allows following entities to bill medicare on his behalf.

Entity Name	Singleton Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20040315000385

Entity Name	Angelina Diagnostic Radiology Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033175302 PECOS PAC ID: 1850380890 Enrollment ID: O20040506001075

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. Larry Keith Jordan 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
Larry Keith Jordan, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301	Larry Keith Jordan, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301

Reviews and Comments

Radiology Doctors in Eden Prairie, MN

Norna L. Karp, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Jacob Gebrael, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Stephen George Fox, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Dr. Trudy J Moore, MD Radiology Medicare: Medicare Enrolled Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Dr. Priti Bachubhai Ram, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Nathan J Groebner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344 Phone: 612-573-2200 Fax: 612-573-2274
Dr. Christopher James Macdonald, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903

Larry Keith Jordan, MD - Medicare Radiology in Eden Prairie, MN