| Jordan Perry, MD | |
|
987 R C Hoag Dr, Salamanca, NY 14779-1365 | |
| (716) 945-5894 | |
| Not Available |
| Full Name | Jordan Perry |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 987 R C Hoag Dr, Salamanca, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033441019 | NPI | - | NPPES |
| 463483745 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 63012 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 263118 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Olean General Hospital | Olean, NY | Hospital |
| Brooks-tlc Hospital System, Inc | Dunkirk, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Seneca Nation Of Indians | 8123920592 | 22 |
| Entity Name | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Entity Name | University Of Wisconsin Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Entity Name | Gundersen Lutheran Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225873458 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Perry, MD 987 R C Hoag Dr, Salamanca, NY 14779-1365 Ph: () - | Jordan Perry, MD 987 R C Hoag Dr, Salamanca, NY 14779-1365 Ph: (716) 945-5894 |
Sushama Kotmire Thandla, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 987 R C Hoag Dr, Salamanca, NY 14779 Phone: 716-945-5894 | |
Arun P Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 449 Broad St, Salamanca, NY 14779 Phone: 167-945-4770 Fax: 716-945-2393 | |
Amanda B Maliphol, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 987 R C Hoag Dr, Salamanca, NY 14779 Phone: 716-945-5894 Fax: 716-242-6345 | |
Michael Kalsman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 987 R C Hoag Dr, Salamanca, NY 14779 Phone: 716-945-5894 |