| Marlon D Jordan, MD | |
|
1418 College Dr, Mount Carmel, IL 62863-2638 | |
| (618) 240-2740 | |
| (618) 263-6479 |
| Full Name | Marlon D Jordan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 1418 College Dr, Mount Carmel, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467415117 | NPI | - | NPPES |
| 000000042524 | Other | ANTHEM | |
| 64756620 | Medicaid | KY | |
| 100343920A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 01030224A (Indiana) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 036082355 (Illinois) | Primary |
| Entity Name | Ferrell Hospital Community Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194713404 PECOS PAC ID: 1355389453 Enrollment ID: O20090630000256 |
| Entity Name | Deaconess Specialty Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003317785 PECOS PAC ID: 0244595205 Enrollment ID: O20180523001150 |
| Mailing Address | Practice Location Address |
|---|---|
| Marlon D Jordan, MD 1418 College Dr, Mount Carmel, IL 62863-2638 Ph: (618) 240-2740 | Marlon D Jordan, MD 1418 College Dr, Mount Carmel, IL 62863-2638 Ph: (618) 240-2740 |
Dr. Siddharth B Jani, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1106 Oak St, Mount Carmel, IL 62863 Phone: 618-263-6575 Fax: 618-262-4468 | |
Dr. Lawrence P Jennings, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1430 College Dr, Suite A, Mount Carmel, IL 62863 Phone: 618-262-5113 |