Tesalia R Jordens, DO | |
818 Forest Ln, Waterford, WI 53185 | |
(262) 514-3700 | |
Not Available |
Full Name | Tesalia R Jordens |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 9 Years |
Location | 818 Forest Ln, Waterford, Wisconsin |
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 |
---|---|---|---|
1750762472 | NPI | - | NPPES |
100079046 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 125.067595 (Illinois) | Secondary |
207Q00000X | Family Medicine | 68755 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora At Home | Milwaukee, WI | Home health agency |
Aurora Lakeland Medical Center | Elkhorn, WI | Hospital |
Aurora Memorial Hospital Burlington | Burlington, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3207 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Aurora Advanced Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Tesalia R Jordens, DO 818 Forest Ln, Waterford, WI 53185-4585 Ph: (262) 514-3700 | Tesalia R Jordens, DO 818 Forest Ln, Waterford, WI 53185 Ph: (262) 514-3700 |
Dr. Anwar R Isabell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 818 Forest Ln, Waterford, WI 53185 Phone: 262-514-8199 | |
Dr. Jennifer Jayne Decker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 818 Forrest Ln, Waterford, WI 53185 Phone: 262-514-3700 Fax: 262-514-3867 | |
Dr. Daniel A Allison, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 818 Forest Ln, Waterford, WI 53185 Phone: 262-514-3700 Fax: 262-514-3867 | |
Dr. Melanie A Smith, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 818 Forest Ln, Waterford, WI 53185 Phone: 262-514-3700 Fax: 262-514-3867 |