Dr Jordan Zane Tacktill, DPM in Roanoke, VA - Medicare Podiatry Provider

Dr Jordan Zane Tacktill, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Roanoke, Virginia. He went to Barry University School Of Podiatric Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States,inc, Kaiser Foundation Health Plan Of The Mid-atlantic States,inc and his current practice location is 222 Walnut Ave Sw, Roanoke, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 344-3668.

Dr Jordan Zane Tacktill is licensed to practice in Virginia (license number 0103301083) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942560727.

Contact Information

	Dr Jordan Zane Tacktill, DPM
	222 Walnut Ave Sw, Roanoke, VA 24016-4723
	(540) 344-3668
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jordan Zane Tacktill
Gender	Male
Speciality	Podiatry
Experience	14 Years
Location	222 Walnut Ave Sw, Roanoke, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jordan Zane Tacktill attended and graduated from Barry University School Of Podiatric Medicine in 2010

NPI Data:

NPI Number: 1942560727
Provider Enumeration Date: 05/25/2012
Last Update Date: 01/10/2022

Medicare PECOS Information:

PECOS PAC ID: 0446490916
Enrollment ID: I20130703000414

Medical Identifiers

Medical identifiers for Dr Jordan Zane Tacktill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942560727	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	PO3534 (Florida)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	0103301083 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kaiser Foundation Health Plan Of The Mid-atlantic States,inc	3779495858	1673
Kaiser Foundation Health Plan Of The Mid-atlantic States,inc	3779495858	1673

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. Dr Jordan Zane Tacktill allows following entities to bill medicare on his behalf.

Provider Name	Kaiser Foundation Health Plan Of The Mid-atlantic States,inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1861552721 PECOS PAC ID: 3779495858 Enrollment ID: O20031105000744

Provider Name	Kaiser Foundation Health Plan Of The Mid-atlantic States,inc
Provider Type	Part B Supplier - Ambulatory Surgical Center
Provider Identifiers	NPI Number: 1114677572 PECOS PAC ID: 3779495858 Enrollment ID: O20221111001583

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. Dr Jordan Zane Tacktill 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
Dr Jordan Zane Tacktill, DPM 222 Walnut Ave Sw, Roanoke, VA 24016-4723 Ph: (540) 344-3668	Dr Jordan Zane Tacktill, DPM 222 Walnut Ave Sw, Roanoke, VA 24016-4723 Ph: (540) 344-3668

Reviews and Comments

Podiatrist in Roanoke, VA

Shenandoah Valley Podiatry Associates, Ltd. Podiatrist Medicare: Medicare Enrolled Practice Location: 60 Summerfield Ct, Suite 102, Roanoke, VA 24019 Phone: 540-904-1458 Fax: 855-495-0994
Mr. David Lamont Nielson, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 222 Walnut Ave Sw, Roanoke, VA 24016 Phone: 540-344-3668 Fax: 540-769-6381
Wesley Maurice Leong, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000
Dr. Peter F Kelly, D.P.M. Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 4106 Electric Rd, Roanoke, VA 24014 Phone: 540-989-3338 Fax: 540-989-5425
Dr. Craig Alan Wilhelms, DPM, PC Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-510-6200 Fax: 540-857-5306
Jennifer Anne Keller, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 60 Summerfield Ct, Suite 102, Roanoke, VA 24019 Phone: 540-904-1458 Fax: 855-495-0994
Dr. Marc A. Platt, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-725-1226 Fax: 540-857-5306

Dr Jordan Zane Tacktill, DPM - Medicare Podiatrist in Roanoke, VA