| Dr Matthew Jordan Dickson, MD | |
|
14 Hudson Avenue, Adirondack Ent, Glens Falls, NY 12801-4363 | |
| (518) 926-1380 | |
| (518) 926-1385 |
| Full Name | Dr Matthew Jordan Dickson |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 25 Years |
| Location | 14 Hudson Avenue, Glens Falls, New York |
| 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 |
|---|---|---|---|
| 1528021706 | NPI | - | NPPES |
| 02897047 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 244280 (New York) | Primary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 57061 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Glens Falls Hospital | Glens falls, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Glens Falls Hospital Inc | 8325955974 | 147 |
| Entity Name | Glens Falls Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336198217 PECOS PAC ID: 8325955974 Enrollment ID: O20031103000498 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Jordan Dickson, MD 100 Park Street, Glens Falls Hospital - Credentialing, Glens Falls, NY 12801-4413 Ph: (518) 926-5924 | Dr Matthew Jordan Dickson, MD 14 Hudson Avenue, Adirondack Ent, Glens Falls, NY 12801-4363 Ph: (518) 926-1380 |
Sean Michael Kennedy, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 14 Hudson Avenue, Adirondack Ent, Glens Falls, NY 12801 Phone: 518-926-1380 Fax: 518-926-1385 | |
Richard A Hughes Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2 Broad Street Plz, Adirondack Ent, Glens Falls, NY 12801 Phone: 518-926-1380 Fax: 518-926-1385 |