Jordan Tichenor, is a medicare enrolled "Internal Medicine - Infectious Disease" provider in Duluth, Minnesota. She went to Lincoln Memorial University Medical Department and graduated in 2015 and has 9 years of diverse experience with area of expertise as Infectious Disease. She is a member of the group practice The Duluth Clinic Ltd and her current practice location is
400 E 3rd St, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 786-3737.
Jordan Tichenor is licensed to practice in Minnesota (license number 71017) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003299827.
Healthcare Provider's Profile
| Full Name | Jordan Tichenor |
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| Gender | Female |
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| Speciality | Infectious Disease |
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| Experience | 9 Years |
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| Location | 400 E 3rd St, Duluth, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jordan Tichenor attended and graduated from Lincoln Memorial University Medical Department in 2015
NPI Data:
- NPI Number: 1003299827
- Provider Enumeration Date: 06/30/2015
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315253713
- Enrollment ID: I20220718001778
Medical Identifiers
Medical identifiers for Jordan Tichenor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003299827 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1835I0206X | Pharmacist - Infectious Diseases | 77711 (Wisconsin) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 71017 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Duluth Clinic Ltd | 2567374283 | 932 |
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. Jordan Tichenor allows following entities to bill medicare on her behalf.
| Entity Name | The Duluth Clinic Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902563638
PECOS PAC ID: 2567374283
Enrollment ID: O20031103000229 |
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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. Jordan Tichenor 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 |
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Jordan Tichenor,
400 E 3rd St,
Duluth, MN 55805-1951
Ph: (218) 786-8895 | Jordan Tichenor,
400 E 3rd St,
Duluth, MN 55805-1951
Ph: (218) 786-3737 |
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