| Jordan Wilson, PA-C | |
|
100 New State Hwy, Raynham, MA 02767-5423 | |
| (781) 666-2711 | |
| (781) 666-2712 |
| Full Name | Jordan Wilson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 100 New State Hwy, Raynham, 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 |
|---|---|---|---|
| 1235651720 | NPI | - | NPPES |
| 2101119 | Medicaid | WA |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spectrum Neuro Behavioral Care Llc | 2860721362 | 57 |
| Entity Name | Spectrum Neuro Behavioral Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356906572 PECOS PAC ID: 2860721362 Enrollment ID: O20190910001508 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Wilson, PA-C 100 New State Hwy, Raynham, MA 02767-5423 Ph: (781) 666-2711 | Jordan Wilson, PA-C 100 New State Hwy, Raynham, MA 02767-5423 Ph: (781) 666-2711 |
Catherine Green, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 675 Paramount Dr, Suite 203, Raynham, MA 02767 Phone: 508-880-0012 |
Rebecca Lee Amaral, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1215 Broadway, Raynham, MA 02767 Phone: 508-894-0400 Fax: 508-894-0412 |
Alaina Bebis Annichiarico, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 675 Paramount Dr, Raynham, MA 02767 Phone: 508-880-0012 Fax: 866-262-4460 |
Courtney R Fuller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 675 Paramount Dr Ste 205, Raynham, MA 02767 Phone: 617-798-6500 Fax: 617-798-6500 |
Lauren Beth Wenzl, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 New State Hwy, Raynham, MA 02767 Phone: 718-666-2711 Fax: 718-666-2712 |
Brendan Ryan, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 675 Paramount Dr, 203, Raynham, MA 02767 Phone: 508-880-0012 Fax: 508-880-0032 |
Mr. Christopher G Massey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 675 Paramount Dr, Suite 303, Raynham, MA 02767 Phone: 508-822-4100 Fax: 508-823-9363 |