Dr Keith D Jorgensen, MD is a medicare enrolled "Otolaryngology" physician in Derry, New Hampshire. He went to Rush Medical College Of Rush University and graduated in 1980 and has 44 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Keith D. Jorgensen, Md, Pa and his current practice location is
44 Birch St, Suite 304, Derry, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 432-8104.
Dr Keith D Jorgensen is licensed to practice in New Hampshire (license number 7086) 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 1023081601.
Physician's Profile
| Full Name | Dr Keith D Jorgensen |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 44 Years |
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| Location | 44 Birch St, Derry, New Hampshire |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Keith D Jorgensen attended and graduated from Rush Medical College Of Rush University in 1980
NPI Data:
- NPI Number: 1023081601
- Provider Enumeration Date: 02/13/2006
- Last Update Date: 03/24/2015
Medicare PECOS Information:
- PECOS PAC ID: 4981615762
- Enrollment ID: I20060508000659
Medical Identifiers
Medical identifiers for Dr Keith D Jorgensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023081601 | NPI | - | NPPES |
| 30001523 | Medicaid | NH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 7086 (New Hampshire) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Keith D. Jorgensen, Md, Pa | 1658373568 | 3 |
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. Dr Keith D Jorgensen allows following entities to bill medicare on his behalf.
| Entity Name | Keith D. Jorgensen, Md, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679588339
PECOS PAC ID: 1658373568
Enrollment ID: O20070206000415 |
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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. Dr Keith D Jorgensen 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 |
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Dr Keith D Jorgensen, MD
44 Birch St, Suite 304,
Derry, NH 03038-2752
Ph: (603) 432-8104 | Dr Keith D Jorgensen, MD
44 Birch St, Suite 304,
Derry, NH 03038-2752
Ph: (603) 432-8104 |
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