| Douglas A Jordan Jr, DPM | |
|
11528 Us Highway 19, Port Richey, FL 34668-1442 | |
| (727) 868-2151 | |
| (727) 868-7379 |
| Full Name | Douglas A Jordan Jr |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 35 Years |
| Location | 11528 Us Highway 19, Port Richey, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518945500 | NPI | - | NPPES |
| 102751 | Other | FL | AVMED |
| 10593101 | Other | FL | CITRUS GCMCI |
| 480018908 | Other | FL | RAILROAD MEDICARE |
| 65211 | Other | FL | BLUE CROSS BLUE SHIELD FLORIDA |
| 985373 | Other | FL | UNITED HEALTH CARE |
| 01352 | Other | FL | UNIVERSAL HEALTH CARE |
| 10593102 | Other | FL | CITRUS GCMCII |
| 057053200 | Medicaid | FL | |
| 6200309 | Other | FL | GHI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | PO 2114 (Florida) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO 2114 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Home Care Inc | Trinity, FL | Home health agency |
| Regional Medical Center Bayonet Point | Hudson, FL | Hospital |
| Medical Center Of Trinity | Trinity, FL | Hospital |
| Adventhealth North Pinellas | Tarpon springs, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sms Do Pa | 0143207530 | 24 |
| Provider Name | Sms Do Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346244100 PECOS PAC ID: 0143207530 Enrollment ID: O20040714000085 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas A Jordan Jr, DPM 11528 Us Highway 19, Port Richey, FL 34668-1442 Ph: (727) 868-2151 | Douglas A Jordan Jr, DPM 11528 Us Highway 19, Port Richey, FL 34668-1442 Ph: (727) 868-2151 |
Peter B Williams Dpm Cws Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 10148 Us Highway 19, Port Richey, FL 34668 Phone: 727-869-9191 Fax: 727-734-1808 | |
Peter B Williams, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 10148 Us Highway 19, Port Richey, FL 34668 Phone: 727-869-9191 Fax: 727-869-9220 |