Diane Jordan-wagner, MD - Medicare Internal Medicine in Terre Haute, IN

Diane Jordan-wagner, MD is a medicare enrolled "Internal Medicine - Allergy & Immunology" physician in Terre Haute, Indiana. Her current practice location is 1429 N 6th St, Terre Haute, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 232-0564.

Diane Jordan-wagner is licensed to practice in Indiana (license number 01056292A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013025097.

Contact Information

Diane Jordan-wagner, MD
1429 N 6th St,
Terre Haute, IN 47804-1037
(812) 232-0564
(812) 235-3330



Physician's Profile

Full NameDiane Jordan-wagner
GenderFemale
SpecialityInternal Medicine - Allergy & Immunology
Location1429 N 6th St, Terre Haute, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013025097
  • Provider Enumeration Date: 08/29/2006
  • Last Update Date: 03/14/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1153213723
  • Enrollment ID: I20040327000418

Medical Identifiers

Medical identifiers for Diane Jordan-wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013025097NPI-NPPES
030005377OtherRAILROAD MCARE PALAMETTO
200392780MedicaidIN
P00844293OtherINRAILROAD MEDICARE
000000230225OtherANTHEM
200392780QMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RA0201XInternal Medicine - Allergy & Immunology 01056292A (Indiana)Primary
207RA0201XInternal Medicine - Allergy & Immunology 36106006 (Illinois)Secondary

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. Diane Jordan-wagner allows following entities to bill medicare on her behalf.
Entity NameUnion Associated Physicians Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891028379
PECOS PAC ID: 3375687437
Enrollment ID: O20100213000002

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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. Diane Jordan-wagner 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 AddressPractice Location Address
Diane Jordan-wagner, MD
221 S 6th St,
Terre Haute, IN 47807-4214

Ph: (812) 232-0564
Diane Jordan-wagner, MD
1429 N 6th St,
Terre Haute, IN 47804-1037

Ph: (812) 232-0564

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Internal Medicine Doctors in Terre Haute, IN

Carrie Ann Deakins, MSN, RN, FNP-BC
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 3560 S 4th St, Terre Haute, IN 47802
Phone: 812-235-8496    
Casey E Jacobs-campbell, FNP-BC
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1801 N 6th St, Terre Haute, IN 47804
Phone: 812-238-4708    
Imad George Koj, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3903 S 7th St, Ste 2e, Terre Haute, IN 47802
Phone: 812-235-7370    Fax: 812-235-7570
Sudha Patel, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6288 S Frye St, Terre Haute, IN 47802
Phone: 812-894-2130    
Dr. Dipen V Shah, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1332 N 7th St, Terre Haute, IN 47807
Phone: 812-478-8888    Fax: 812-478-1114
Dr. Tony K. Nasser, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2723 S 7th Street, Suite A, Terre Haute, IN 47802
Phone: 812-232-8164    Fax: 812-234-6391

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