| Dr Michael E Jiser, MD | |
|
275 Varnum Ave Ste 203, Lowell, MA 01854-2109 | |
| (978) 458-4300 | |
| (978) 458-4311 |
| Full Name | Dr Michael E Jiser |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 275 Varnum Ave Ste 203, Lowell, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952386005 | NPI | - | NPPES |
| 3188329 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 157012 (Massachusetts) | Primary |
| Entity Name | Lgh Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174698385 PECOS PAC ID: 3173626751 Enrollment ID: O20070320000453 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
| Entity Name | Riverside Surgical Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538405378 PECOS PAC ID: 8123263837 Enrollment ID: O20130401000159 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael E Jiser, MD 275 Varnum Ave Ste 203, Lowell, MA 01854-2109 Ph: (978) 458-4300 | Dr Michael E Jiser, MD 275 Varnum Ave Ste 203, Lowell, MA 01854-2109 Ph: (978) 458-4300 |
Jehangir Badar, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-937-6439 | |
Paul M Burke Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1115 Westford St Ste 2, Lowell, MA 01851 Phone: 351-221-7080 | |
Suman Bhushan Koganti, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 275 Varnum Ave Ste 203, Lowell, MA 01854 Phone: 978-458-4300 | |
Richard J Rohrer, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 275 Varnum Ave Ste 203, Lowell, MA 01854 Phone: 978-458-4300 Fax: 978-458-4311 | |
Lerna Ozcan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 275 Varnum Ave Ste 203, Lowell, MA 01854 Phone: 978-458-4300 Fax: 978-458-4311 | |
Wassim Mazraany, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 275 Varnum Ave Ste 203, Lowell, MA 01854 Phone: 978-458-4300 Fax: 978-458-4311 | |
Jana Simonds, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 275 Varnum Ave Ste 203, Lowell, MA 01854 Phone: 978-458-4300 |