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MANLEY MCRAE JORDAN MD
NPI 1932118296
Internal Medicine - Pulmonary Disease in Lake Charles, LA

Active since August 05, 2006PECOS Enrolled
2770 3RD AVE, SUITE 110, LAKE CHARLES, LA 70601(337) 494-2750(337) 494-2760 Get Directions Write a Review

NPPES record last updated: December 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manley Mcrae Jordan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANLEY MCRAE JORDAN MD (NPI 1932118296) is an individual pulmonary disease provider in Lake Charles, Louisiana, licensed in Louisiana (017837) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932118296
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMANLEY MCRAE JORDANCredential: MD
Location Address2770 3RD AVE, SUITE 110Lake Charles, LA 70601-8994
Mailing AddressPo Box 122309, Dept 2309Dallas, TX 75312-2309 · (337) 494-2919 · Fax (337) 494-3069
Phone(337) 494-2750
Fax(337) 494-2760
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateDecember 2, 2015
✔ NPI 1932118296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in LA · 017837
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
2770 3RD AVE, Lake Charles, LA 70601
Open in Google Maps ↗

Other Identifiers 5

OtherP00221352LA · Railroad Medicare
Medicaid1468444LA
Other$$$$$$$$$0LA · Blue Cross Blue Shield
Medicare ID-Type Unspecified4J132LA
Medicare UPINE04248LA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manley Mcrae Jordan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. FLOYD ANTHONY GASPARD JR. R.N.
Registered Nurse (Registered Nurse First Assistant)
2770 3RD AVE, SUITE 225
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-3100
ENDOCRINOLOGY CENTER OF SOUTHWEST LA LLC
Specialist
2770 3RD AVE, SUITE 345
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-4765
DR. LUCIEN KENNEDY MOSS JR. M.D.
Specialist
2770 3RD AVE, SUITE 120
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-4868
DR. THOMAS C STRONG M.D
Surgery
2770 3RD AVE, SUITE 120
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-4868
LCMS SURGICAL ASSOCIATES OF SOUTHWEST LOUSIANA, LLC
Surgery
2770 3RD AVE, SUITE 120
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-4868
MRS. AMANDA PAIGE MULIG NP
Nurse Practitioner (Family)
2770 3RD AVE, STE 120
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-4868
MEDICAL & OCCUPATIONAL CLINIC OF LAKE CHARLES, L.L.C.
Internal Medicine
2770 3RD AVE, SUITE 225
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 478-2573
WILLIAM GERRY HEBERT M.D.
Internal Medicine
2770 3RD AVE, SUITE 350
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manley Jordan's NPI number?

The NPI number for Manley Jordan is 1932118296. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Manley Jordan located?

Manley Jordan practices at 2770 3rd Ave Suite 110, Lake Charles, LA 70601. The listed phone number is (337) 494-2750.

What is Manley Jordan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Manley Jordan enrolled in Medicare?

Yes. Manley Jordan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Manley Jordan was last updated on December 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.