Jordan Grove, MD - Medicare Emergency Medicine in Jbsa Lackland, TX

Jordan Grove, MD is a medicare enrolled "Emergency Medicine" physician in Jbsa Lackland, Texas. His current practice location is 1100 Wilford Hall Loop, Jbsa Lackland, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 916-4789.

Jordan Grove is licensed to practice in Texas (license number U5706) 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 1225658701.

Contact Information

Jordan Grove, MD
1100 Wilford Hall Loop,
Jbsa Lackland, TX 78236-5638
(210) 916-4789
Not Available



Physician's Profile

Full NameJordan Grove
GenderMale
SpecialityEmergency Medicine
Location1100 Wilford Hall Loop, Jbsa Lackland, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225658701
  • Provider Enumeration Date: 04/24/2020
  • Last Update Date: 08/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355700642
  • Enrollment ID: I20230705001457

Medical Identifiers

Medical identifiers for Jordan Grove such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225658701NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 0101273843 (Virginia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207P00000XEmergency Medicine U5706 (Texas)Primary

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 Grove allows following entities to bill medicare on his behalf.
Entity NameThird Coast Emergency Physicians Southwest Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497793475
PECOS PAC ID: 6800794447
Enrollment ID: O20031222000126

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› Verified 6 days ago

Entity NameTravis County Emergency Physicians Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962440933
PECOS PAC ID: 0840289468
Enrollment ID: O20040510000492

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› Verified 6 days ago

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 Grove 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
Jordan Grove, MD
1100 Wilford Hall Loop,
Jbsa Lackland, TX 78236-5638

Ph: (210) 916-4789
Jordan Grove, MD
1100 Wilford Hall Loop,
Jbsa Lackland, TX 78236-5638

Ph: (210) 916-4789

News Archive

Researchers look at benefits and applications of medical simulation

Emergency medicine physicians and simulation experts from Rhode Island Hospital discuss the benefits of advanced medical simulation in five manuscripts appearing in the November 2008 issue of Academic Emergency Medicine (now available online).

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› Verified 6 days ago


Emergency Medicine Doctors in Jbsa Lackland, TX

Daniel Allan Weidner, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236
Phone: 210-292-3403    
Dr. Anthony L Mitchell, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236
Phone: 210-292-3442    
Dr. Christopher John Yutzy, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236
Phone: 210-292-7753    
Katie Lou Matteuzzi, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236
Phone: 210-292-7331    
Shannon Nicole Thompson,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236
Phone: 210-292-7331    
Peter John Cuenca, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 210-292-7331    
Trisha Marion Arno, D.O
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 210-292-0055    

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