Jordan O Booty, MD | |
3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104 | |
(215) 662-3000 | |
Not Available |
Full Name | Jordan O Booty |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 16 Years |
Location | 3400 Spruce St, Philadelphia, Pennsylvania |
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 |
---|---|---|---|
1336384189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD451981 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Main Line Hospital Lankenau | Wynnewood, PA | Hospital |
Bryn Mawr Hospital | Bryn mawr, PA | Hospital |
Paoli Hospital | Paoli, PA | Hospital |
Riddle Memorial Hospital | Media, PA | Hospital |
Hospital Of Univ Of Pennsylvania | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Main Line Health Imaging, Lp | 7618867664 | 50 |
Radiology Associates Of The Main Line Pc | 9931097193 | 62 |
Entity Name | Radiology Associates Of The Main Line Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750332003 PECOS PAC ID: 9931097193 Enrollment ID: O20040309000533 |
Entity Name | Main Line Health Imaging, Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477504264 PECOS PAC ID: 7618867664 Enrollment ID: O20040316000319 |
Entity Name | University Of Penn - Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
Mailing Address | Practice Location Address |
---|---|
Jordan O Booty, MD 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104 Ph: (215) 662-3000 | Jordan O Booty, MD 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104 Ph: (215) 662-3000 |
Joel M Stein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3005 | |
Dr. Sarah Denise Fenerty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-7237 Fax: 215-707-9389 | |
Joanie M Garratt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011 | |
Xin Qi Wei, DO Radiology Medicare: Medicare Enrolled Practice Location: 160 E Erie Ave, Philadelphia, PA 19134 Phone: 215-427-5234 | |
Ryan Mcclintock, MD Radiology Medicare: Medicare Enrolled Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011 | |
Dr. David P. Friedman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 3390, Philadelphia, PA 19107 Phone: 215-955-2900 Fax: 215-923-1562 | |
Michel Bilello, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104 Phone: 215-662-3005 |