Dr Jordan James Petersen, DO in Taylor, MI - Medicare Physical Medicine & Rehabilitation

Dr Jordan James Petersen, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Taylor, Michigan. His current practice location is 10000 Telegraph Rd, Taylor, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 295-5000.

Dr Jordan James Petersen is licensed to practice in Michigan (license number 5151015319) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952979163.

Contact Information

	Dr Jordan James Petersen, DO
	10000 Telegraph Rd, Taylor, MI 48180-3330
	(313) 295-5000
	Not Available

Physician's Profile

Full Name	Dr Jordan James Petersen
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	10000 Telegraph Rd, Taylor, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952979163
Provider Enumeration Date: 06/14/2021
Last Update Date: 06/14/2021

Medicare PECOS Information:

PECOS PAC ID: 2567862253
Enrollment ID: I20210617001199

Medical Identifiers

Medical identifiers for Dr Jordan James Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952979163	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	5151015319 (Michigan)	Primary

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 James Petersen 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 James Petersen, DO 175 E 22nd St, Idaho Falls, ID 83404-6905 Ph: (208) 521-4408	Dr Jordan James Petersen, DO 10000 Telegraph Rd, Taylor, MI 48180-3330 Ph: (313) 295-5000

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Physical Medicine & Rehabilitation Doctors in Taylor, MI

Dr. Sean Ronald Sellwood, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 10000 Telegraph Rd, Taylor, MI 48180 Phone: 313-295-5000
Christine Davis, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 10000 Telegraph Rd, Taylor, MI 48180 Phone: 313-295-5000
Jungyoon Jung, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 10000 Telegraph Rd, Taylor, MI 48180 Phone: 313-295-5000
Rachel Reeves, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 10000 Telegraph Rd, Taylor, MI 48180 Phone: 313-375-7226
Jessica Gustad, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10000 Telegraph Rd, Taylor, MI 48180 Phone: 313-982-5150
Dr. Juliet Irene Peck, MBBS Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 10000 Telegraph Rd, Taylor, MI 48180 Phone: 805-598-7184
Dr. James Alexander Borges, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 10000 Telegraph Rd, Taylor, MI 48180 Phone: 313-375-7226

Dr Jordan James Petersen, DO - Medicare Physical Medicine & Rehabilitation in Taylor, MI