Mary Chisholm Jordan, DO - Medicare Obstetrics & Gynecology in Troy, MI

Mary Chisholm Jordan, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Troy, Michigan. Her current practice location is 44199 Dequindre Rd, Suite 415, Troy, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 964-6061.

Mary Chisholm Jordan is licensed to practice in Michigan (license number 5101010084) 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 1467618694.

Contact Information

Mary Chisholm Jordan, DO
44199 Dequindre Rd, Suite 415,
Troy, MI 48085-1128
(248) 964-6061
(248) 964-6054



Physician's Profile

Full NameMary Chisholm Jordan
GenderFemale
SpecialityObstetrics & Gynecology
Location44199 Dequindre Rd, Troy, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467618694
  • Provider Enumeration Date: 08/07/2008
  • Last Update Date: 08/07/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7214069822
  • Enrollment ID: I20100717000089

Medical Identifiers

Medical identifiers for Mary Chisholm Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467618694NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 5101010084 (Michigan)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. Mary Chisholm Jordan allows following entities to bill medicare on her behalf.
Entity NameBeaumont Medical Group- Specialty Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578072906
PECOS PAC ID: 7214299866
Enrollment ID: O20180320002549

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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. Mary Chisholm Jordan 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
Mary Chisholm Jordan, DO
44199 Dequindre Rd, Suite 415,
Troy, MI 48085-1128

Ph: (248) 964-6061
Mary Chisholm Jordan, DO
44199 Dequindre Rd, Suite 415,
Troy, MI 48085-1128

Ph: (248) 964-6061

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Obstetrics & Gynecology Doctors in Troy, MI

Dr. Robert G Saieg, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 38815 Dequindre Rd, Ste 101, Troy, MI 48083
Phone: 248-528-1010    Fax: 248-528-0202
Joelle Aoun Abood, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2825 Livernois Road, Henry Ford Medical Center - Women's Health, Troy, MI 48083
Phone: 248-680-6000    Fax: 757-594-4735
Marwa Ieliya Ibrahim, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 44201 Dequindre Rd, Troy, MI 48085
Phone: 248-964-1043    Fax: 248-964-0692
Dr. Karen Condon Wheeler, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 130 Town Center Drive, Suite 106, Troy, MI 48084
Phone: 248-619-3100    Fax: 248-619-9031
Hyunyoung Ahn, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 44199 Dequindre Rd Ste 415, Troy, MI 48085
Phone: 248-964-5129    
Michael Tsimis, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3979 Mark Dr, Troy, MI 48083
Phone: 248-225-5253    
Deemah Salem, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 3290 W Big Beaver Rd, Suite 444, Troy, MI 48084
Phone: 248-816-9200    

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