Dr Jason L Port, MD | |
3640 Main St, Suite 101, Springfield, MA 01107-1145 | |
(413) 781-9000 | |
(413) 781-7988 |
Full Name | Dr Jason L Port |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 36 Years |
Location | 3640 Main St, Springfield, 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 |
---|---|---|---|
1114033396 | NPI | - | NPPES |
3154656 | Medicaid | MA | |
J16771 | Other | MA | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0700X | Radiology - Neuroradiology | 151546 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Connecticut Imaging Partners Llc | 4183649098 | 75 |
Farmington Imaging Center Llc | 7719265651 | 35 |
Connecticut Imaging Partners Llc | 4183649098 | 75 |
Tic Llc | 4880972819 | 21 |
Farmington Imaging Center Llc | 7719265651 | 35 |
Jefferson Radiology Pc | 8729982525 | 78 |
Entity Name | Chelmsford Mri Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386662112 PECOS PAC ID: 9537118609 Enrollment ID: O20050114000678 |
Entity Name | Chelmsford Mri Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821435553 PECOS PAC ID: 9537118609 Enrollment ID: O20130926000109 |
Entity Name | Connecticut Imaging Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740315761 PECOS PAC ID: 4183649098 Enrollment ID: O20141201001337 |
Entity Name | Farmington Imaging Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275987802 PECOS PAC ID: 7719265651 Enrollment ID: O20170119002813 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason L Port, MD 212 Farmington Rd, Longmeadow, MA 01106-1554 Ph: (413) 567-0885 | Dr Jason L Port, MD 3640 Main St, Suite 101, Springfield, MA 01107-1145 Ph: (413) 781-9000 |
Laurie E Gianturco, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1350 Main St Ste 1007, Springfield, MA 01103 Phone: 413-827-7400 Fax: 413-827-7407 | |
Linda Esther Bornstein, MD Radiology Medicare: Medicare Enrolled Practice Location: 3350 Main St, Springfield, MA 01107 Phone: 413-794-9175 Fax: 413-794-5153 | |
Christopher Badalucco, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-827-7400 | |
Christopher C Moore, MD, PH.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Radiology Department, Springfield, MA 01107 Phone: 413-827-7426 Fax: 413-827-7407 | |
Dr. Thomas Joseph Anderson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1350 Main St Ste 1007, Springfield, MA 01103 Phone: 413-827-7400 | |
Michael E. Swirsky, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Radiology Department, Springfield, MA 01107 Phone: 413-827-7426 Fax: 413-827-7407 |