| Andrew Carl Jorgensen, MD | |
|
49 Harry Kemp Way, Provincetown, MA 02657-1618 | |
| (508) 487-9395 | |
| (508) 487-3285 |
| Full Name | Andrew Carl Jorgensen |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 26 Years |
| Location | 49 Harry Kemp Way, Provincetown, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134106271 | NPI | - | NPPES |
| 234187 | Other | MA | MA MEDICAL LICENSE |
| 110078100A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 234187 (Massachusetts) | Secondary |
| 207R00000X | Internal Medicine | 234187 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cape Cod Healthcare | Hyannis, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Duffy Health Center, Inc | 1951211598 | 18 |
| Medical Affiliates Of Cape Cod Inc | 3577471564 | 208 |
| Entity Name | Medical Affiliates Of Cape Cod Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770534927 PECOS PAC ID: 3577471564 Enrollment ID: O20040510001010 |
| Entity Name | Duffy Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588616742 PECOS PAC ID: 1951211598 Enrollment ID: O20150625000172 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Carl Jorgensen, MD Po Box 598, Harwich Port, MA 02646-0598 Ph: (508) 905-2800 | Andrew Carl Jorgensen, MD 49 Harry Kemp Way, Provincetown, MA 02657-1618 Ph: (508) 487-9395 |
William E Shay, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 49 Harry Kemp Way, Provincetown, MA 02657 Phone: 508-487-9395 Fax: 508-487-3285 | |
Dr. Brian O'malley, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 30 Shank Painter Rd, Provincetown, MA 02657 Phone: 508-487-3505 Fax: 508-487-9023 | |
Pamela French,, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 17 Bayberry Ave, Provincetown, MA 02657 Phone: 508-487-2441 | |
Donna Moffat Krauth, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 49 Harry Kemp Way, Provincetown, MA 02657 Phone: 508-487-9395 Fax: 508-487-6298 | |
Janet R Whelan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Outer Cape Health Services, 49 Harry Kemp Way, Provincetown, MA 02657 Phone: 508-487-9395 |