Robert Jordan, in Douglasville, GA - Medicare Physician Assistant

Robert Jordan, is a medicare enrolled "Physician Assistant" physician in Douglasville, Georgia. His current practice location is 8954 Hospital Dr, Douglasville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 920-6420.

Robert Jordan is licensed to practice in Georgia (license number 001968) 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 1326149063.

Contact Information

	Robert Jordan,
	8954 Hospital Dr, Douglasville, GA 30134
	(770) 920-6420
	Not Available

Physician's Profile

Full Name	Robert Jordan
Gender	Male
Speciality	Physician Assistant
Location	8954 Hospital Dr, Douglasville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326149063
Provider Enumeration Date: 09/26/2006
Last Update Date: 09/04/2018

Medicare PECOS Information:

PECOS PAC ID: 4082784079
Enrollment ID: I20080603000238

Medical Identifiers

Medical identifiers for Robert Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326149063	NPI	-	NPPES
PENDING	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	001968 (Georgia)	Secondary
363A00000X	Physician Assistant	001968 (Georgia)	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. Robert 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 Address	Practice Location Address
Robert Jordan, 5665 New Northside Dr Nw, Atlanta, GA 30328-5831 Ph: (770) 874-5400	Robert Jordan, 8954 Hospital Dr, Douglasville, GA 30134 Ph: (770) 920-6420

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Robert Jordan, - Medicare Physician Assistant in Douglasville, GA