| Dr Michael R Jordan, MD | |
|
65 Calef Hwy Ste 200, Lee, NH 03861-6703 | |
| (603) 868-3300 | |
| Not Available |
| Full Name | Dr Michael R Jordan |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 65 Calef Hwy Ste 200, Lee, New Hampshire |
| 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 |
|---|---|---|---|
| 1669817821 | NPI | - | NPPES |
| 3105073 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17702 (New Hampshire) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cornerstone Vna | Rochester, NH | Home health agency |
| Wentworth Home Care & Hospice, An Amedisys Partner | Somersworth, NH | Home health agency |
| Wentworth-douglass Hospital | Dover, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wentworth Douglass Physician Corporation | 5496749848 | 400 |
| Entity Name | Wentworth Douglass Physician Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447352430 PECOS PAC ID: 5496749848 Enrollment ID: O20040409000433 |
| Entity Name | Dartmouth-hitchcock Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael R Jordan, MD Po Box 412503, Boston, MA 02241-2503 Ph: (617) 726-3884 | Dr Michael R Jordan, MD 65 Calef Hwy Ste 200, Lee, NH 03861-6703 Ph: (603) 868-3300 |
Matthew J Goldberg, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 65 Calef Hwy, Suite 200, Lee, NH 03861 Phone: 603-868-3300 Fax: 603-868-3303 | |
Dr. Benedict Gerald Heiderscheidt, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 21 Caverno Dr, Lee, NH 03861 Phone: 603-988-8128 Fax: 610-340-9130 | |
Dr. Maureen Erin Cashman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 65 Calef Hwy Ste 200, Lee, NH 03861 Phone: 603-868-3300 |