Jordan Ray Ilse, MD - Medicare Dermatology in Belton, TX

Jordan Ray Ilse, MD is a medicare enrolled "Dermatology" physician in Belton, Texas. He went to Texas A & M University System, Hsc, College Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Oliver Street 5.01(a) Inc and his current practice location is 1300 E. 6th Avenue, Belton, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 778-5400.

Jordan Ray Ilse is licensed to practice in Texas (license number N8307) 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 1477712479.

Contact Information

Jordan Ray Ilse, MD
1300 E. 6th Avenue,
Belton, TX 76513-2810
(254) 778-5400
(254) 778-5444



Physician's Profile

Full NameJordan Ray Ilse
GenderMale
SpecialityDermatology
Experience17 Years
Location1300 E. 6th Avenue, Belton, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jordan Ray Ilse attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 2007
  NPI Data:
  • NPI Number: 1477712479
  • Provider Enumeration Date: 06/04/2008
  • Last Update Date: 08/04/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9032380431
  • Enrollment ID: I20110915000168

Medical Identifiers

Medical identifiers for Jordan Ray Ilse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477712479NPI-NPPES
N8307OtherTXTX LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology N8307 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baylor Scott & White Pavilion - TempleTemple, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oliver Street 5.01(a) Inc0042464125141

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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 Ray Ilse allows following entities to bill medicare on his behalf.
Entity NameOliver Street 5.01(a) Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457695413
PECOS PAC ID: 0042464125
Enrollment ID: O20130128000189

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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. Jordan Ray Ilse 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 Ray Ilse, MD
1300 East 6th Ave,
Belton, TX 76513

Ph: (254) 778-5400
Jordan Ray Ilse, MD
1300 E. 6th Avenue,
Belton, TX 76513-2810

Ph: (254) 778-5400

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Dermatology Doctors in Belton, TX

Lenore Renee Chiles, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1300 E. 6th Avenue, Belton, TX 76513
Phone: 254-778-5400    Fax: 254-778-5444
Leo Arnold Conger Jr.,
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1300 E. 6th Avenue, Belton, TX 76513
Phone: 254-778-5400    Fax: 254-778-5444

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