| Johannes Hendrik Jordaan, MD | |
|
149 North St, Waterville, ME 04901-4974 | |
| (207) 872-1000 | |
| Not Available |
| Full Name | Johannes Hendrik Jordaan |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 149 North St, Waterville, Maine |
| 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 |
|---|---|---|---|
| 1992782759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 015908 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maine General Medical Center | Augusta, ME | Hospital |
| Maine Medical Center | Portland, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maine Mobile Mri Assoc | 0042274086 | 9 |
| Radiology Alliance Of Maine Llc | 4486888575 | 9 |
| Entity Name | Mainegeneral Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718 |
| Entity Name | Sebasticook Valley Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457461477 PECOS PAC ID: 3476462797 Enrollment ID: O20040513001197 |
| Entity Name | Radiology Alliance Of Maine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821439258 PECOS PAC ID: 4486888575 Enrollment ID: O20131003000057 |
| Entity Name | Radiology Consultants Of Maine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164830139 PECOS PAC ID: 3779703897 Enrollment ID: O20141013000474 |
| Entity Name | Maine Mobile Mri Assoc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649607524 PECOS PAC ID: 0042274086 Enrollment ID: O20250403001649 |
| Mailing Address | Practice Location Address |
|---|---|
| Johannes Hendrik Jordaan, MD Po Box 1849, Lewiston, ME 04241-1849 Ph: (207) 784-2554 | Johannes Hendrik Jordaan, MD 149 North St, Waterville, ME 04901-4974 Ph: (207) 872-1000 |
James D. Raque, MD Radiology Medicare: Medicare Enrolled Practice Location: 149 North Street, Waterville, ME 04901 Phone: 207-873-0729 Fax: 207-873-4338 | |
Zaki Nashed, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-872-1000 | |
Jonathan J Hallenbeck, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-872-1000 | |
Paul D Gagliardi, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-872-1000 |