| Dr Jorge M Medina, MD | |
|
55 Lake Ave N, Worcester, MA 01655-0002 | |
| (508) 334-3850 | |
| (508) 856-1860 |
| Full Name | Dr Jorge M Medina |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 29 Years |
| Location | 55 Lake Ave N, Worcester, 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 |
|---|---|---|---|
| 1477520930 | NPI | - | NPPES |
| 110002970A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 205001 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth's Medical Center | Brighton, MA | Hospital |
| Good Samaritan Medical Center | Brockton, MA | Hospital |
| Boston Medical Center | Boston, MA | Hospital |
| Holy Family Hospital | Methuen, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Steward Medical Group Inc | 2860688728 | 602 |
| Bmc Affiliated Physicians, Inc. | 9830133123 | 376 |
| Entity Name | Umass Memorial Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
| Entity Name | Umass Memorial Radiology Phys Serv |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639122096 PECOS PAC ID: 6800868779 Enrollment ID: O20040811000206 |
| Entity Name | Bmc Affiliated Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245320910 PECOS PAC ID: 9830133123 Enrollment ID: O20050617000054 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356654495 PECOS PAC ID: 2860688728 Enrollment ID: O20101120000012 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821349317 PECOS PAC ID: 2860688728 Enrollment ID: O20130626000396 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jorge M Medina, MD Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Dr Jorge M Medina, MD 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 334-3850 |
Dominique Rowcroft, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 | |
Alan Goldstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 Fax: 508-856-1860 | |
Nicholas Charles Fasano, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave North, Worcester, MA 01655 Phone: 508-334-3850 | |
Jasmeet Singh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 Fax: 508-334-9108 | |
John Robinson, Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 | |
Fareed Riyaz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 978-939-2035 Fax: 978-939-2039 | |
Iryna Rastarhuyeva, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave North, Worcester, MA 01655 Phone: 502-334-3850 |