1210 FOURIER DR STE 100
MADISON, WI 53717-1969 US PECOS Enrolled
Overview
Traci L Jordan is a Psychologist in the MADISON area. Traci L Jordan primary office location is at 1210 FOURIER DR STE 100 and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1205851995 and the information was updated less than a year ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 0006061 | CO |
| 005597 | AZ |
| 24625 | TX |
| 30404 | TX |
| 5154 | WI |
No Identifiers found
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | - |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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