| Jordan Glicksman, MD | |
|
104 Endicott St Ste 100, Danvers, MA 01923-3623 | |
| (978) 745-6601 | |
| Not Available |
| Full Name | Jordan Glicksman |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 15 Years |
| Location | 104 Endicott St Ste 100, Danvers, Massachusetts |
| 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 |
|---|---|---|---|
| 1124479282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 270202 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Newton-wellesley Hospital | Newton, MA | Hospital |
| Massachusetts Eye And Ear Infirmary - | Boston, MA | Hospital |
| Brigham And Women's Hospital | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Massachusetts Eye And Ear Associates, Inc | 4486540275 | 381 |
| New England Ear Nose And Throat Llc | 7618125931 | 12 |
| Entity Name | Massachusetts Eye And Ear Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932574332 PECOS PAC ID: 4486540275 Enrollment ID: O20040227000123 |
| Entity Name | North Shore Ear, Nose & Throat Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619940780 PECOS PAC ID: 9032138367 Enrollment ID: O20051116000507 |
| Entity Name | New England Ear Nose And Throat Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013279108 PECOS PAC ID: 7618125931 Enrollment ID: O20120912000005 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Glicksman, MD 104 Endicott St Ste 100, Danvers, MA 01923-3623 Ph: (978) 745-6601 | Jordan Glicksman, MD 104 Endicott St Ste 100, Danvers, MA 01923-3623 Ph: (978) 745-6601 |
Dr. Anna E. Petropoulos, M.D., F.R.C.S. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 80 Lindall St, Danvers, MA 01923 Phone: 978-739-9500 Fax: 978-739-9502 | |
Dr. Allen Lee Feng, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 Endicott St Ste 100, Danvers, MA 01923 Phone: 978-745-6601 | |
Dr. Richard E Mugge, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 Endicott St, Suite 100, Danvers, MA 01923 Phone: 978-745-6601 Fax: 978-624-4040 | |
Dr. Philip Ryan Molarte Camilon, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 Endicott St Ste 100, Danvers, MA 01923 Phone: 978-745-6601 Fax: 978-744-4872 | |
Dr. James L Demetroulakos, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 Endicott St, Suite 100, Danvers, MA 01923 Phone: 978-745-6601 Fax: 978-624-4040 | |
William R Nicholas, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 127 Locust St, Danvers, MA 01923 Phone: 978-774-8886 |