| Ms Jordesha M Hodge, MD | |
| 
					3300 Main Street, 3rd Fl, Suite A, Springfield, MA 01107-1112  | |
| (413) 794-7031 | |
| (413) 794-7133 | 
| Full Name | Ms Jordesha M Hodge | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism | 
| Location | 3300 Main Street, Springfield, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1861955155 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 1018827 (Massachusetts) | Primary | 
| Entity Name | Baystate Medical Practices Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Jordesha M Hodge, MD 280 Chestnut Street, 2nd Floor, Springfield, MA 01199-1001 Ph: (413) 794-5700  | Ms Jordesha M Hodge, MD 3300 Main Street, 3rd Fl, Suite A, Springfield, MA 01107-1112 Ph: (413) 794-7031  | 
Mr. Kanishq Rajan Jethani, M.D Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-4320 Fax: 413-794-1767  | |
Grace Makari-judson, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 3350 Main Street, Springfield, MA 01107 Phone: 413-794-9338 Fax: 413-794-9754  | |
Peter Whittredge, M.D. Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Center Dr, Suite 410, Springfield, MA 01107 Phone: 413-781-5735 Fax: 413-732-0225  | |
Dr. Marc A Goldman, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 175 Carew St Ste 200, Springfield, MA 01104 Phone: 413-732-4269 Fax: 413-785-4619  | |
Twara K Tarasaria, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-6297 Fax: 413-794-1767  | |
Emily Mildred Ramasra, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 3300 Main St Fl 3, Springfield, MA 01107 Phone: 413-794-7394 Fax: 413-794-7136  | |
Noor Tariq, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-6297 Fax: 413-794-1767  |