Richard Montgomery Jordan, MD in Gastonia, NC

Richard Montgomery Jordan, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Gastonia, North Carolina. His current practice location is 620 Summit Crossing Pl, Suite 106, Gastonia, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 867-8021.

Richard Montgomery Jordan is licensed to practice in North Carolina (license number 30923) 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 1821075508.

Contact Information

	Richard Montgomery Jordan, MD
	620 Summit Crossing Pl, Suite 106, Gastonia, NC 28054-2176
	(704) 867-8021
	(704) 864-4606

Map and Direction

Physician's Profile

Full Name	Richard Montgomery Jordan
Gender	Male
Speciality	Radiology - Vascular & Interventional Radiology
Location	620 Summit Crossing Pl, Gastonia, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821075508
Provider Enumeration Date: 12/23/2005
Last Update Date: 08/23/2010

Medicare PECOS Information:

PECOS PAC ID: 5294850095
Enrollment ID: I20100916001195

Medical Identifiers

Medical identifiers for Richard Montgomery Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821075508	NPI	-	NPPES
72386	Other		MEDCOST
47484	Other		BLUE CROSS BLUE SHIELD
2137652	Other		AETNA HMO
4629496	Other		AETNA PPO
8947484	Medicaid	NC
N30923	Medicaid	SC
300068233	Other		RAILROAD MEDICARE
1642994	Other		UNITED HEALTHCARE
6677	Other		PARTNERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	30923 (North Carolina)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	30923 (North Carolina)	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. Richard Montgomery Jordan allows following entities to bill medicare on his behalf.

Entity Name	Gaston Radiology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356324487 PECOS PAC ID: 4082680806 Enrollment ID: O20040902001290

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. Richard Montgomery 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
Richard Montgomery Jordan, MD 620 Summit Crossing Pl, Suite 106, Gastonia, NC 28054-2176 Ph: (704) 867-8021	Richard Montgomery Jordan, MD 620 Summit Crossing Pl, Suite 106, Gastonia, NC 28054-2176 Ph: (704) 867-8021

Reviews and Comments

Radiology Doctors in Gastonia, NC

Mark Thomas Edge, PHD MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606
Renee Raimondi Deweese, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Summit Crossing Place, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606
Christopher Johannus Vandermeer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606
Dr. Richard S Herring, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl Ste 106, Gastonia, NC 28054 Phone: 404-712-4686
Heather Ann Pickford, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606
Christopher William Saltmarsh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606
Chad Michael Clark, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606

Richard Montgomery Jordan, MD - Medicare Radiology in Gastonia, NC