| Jonathan G Jaques, MD | |
|
75 Lindall St, Danvers, MA 01923-2121 | |
| (978) 774-4400 | |
| (978) 777-1462 |
| Full Name | Jonathan G Jaques |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology - Pain Medicine |
| Location | 75 Lindall St, Danvers, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164412052 | NPI | - | NPPES |
| 3091023 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 75534 (Massachusetts) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 75534 (Massachusetts) | Primary |
| Entity Name | Beverly Anesthesia Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427041268 PECOS PAC ID: 2961491667 Enrollment ID: O20040508000009 |
| Entity Name | Jjm Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952548265 PECOS PAC ID: 6800950312 Enrollment ID: O20090128000435 |
| Entity Name | North Shore Ambulatory Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821535378 PECOS PAC ID: 7416233234 Enrollment ID: O20170411000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan G Jaques, MD 75 Lindall St, Danvers, MA 01923-2121 Ph: (978) 774-4400 | Jonathan G Jaques, MD 75 Lindall St, Danvers, MA 01923-2121 Ph: (978) 774-4400 |
Charles C Ho, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 75 Lindall St, Danvers, MA 01923 Phone: 978-646-7088 Fax: 978-777-1462 | |
Robert F Cipolle, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 75 Lindall St, Danvers, MA 01923 Phone: 978-646-7088 Fax: 978-777-1462 | |
Dr. Rico Francis Autori, D.M.D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5 Grapevine Rd, Danvers, MA 01923 Phone: 978-750-4449 Fax: 978-750-8886 | |
Frederick D Kuemmerle, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 75 Lindall St, Danvers, MA 01923 Phone: 978-646-7088 Fax: 978-777-1462 | |
Justin W Fox, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 75 Lindall Street, Hunt Center, Danvers, MA 01923 Phone: 978-774-4400 Fax: 978-777-1462 | |
Emma Louise Cataldi-betcher, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 480 Maple St, Suite C233a, Danvers, MA 01923 Phone: 978-304-8690 Fax: 978-304-8697 |