Dr Jordan Spence Zuckerman, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Bayside, New York. He went to Columbia University College Of Physicians And Surgeons and graduated in 1985 and has 39 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice New York Dermatology, Pc and his current practice location is
2383 Bell Blvd, Upper Level, Bayside, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 423-0200.
Dr Jordan Spence Zuckerman is licensed to practice in New York (license number 168660) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043205016.
Physician's Profile
| Full Name | Dr Jordan Spence Zuckerman |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 39 Years |
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| Location | 2383 Bell Blvd, Bayside, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jordan Spence Zuckerman attended and graduated from Columbia University College Of Physicians And Surgeons in 1985
NPI Data:
- NPI Number: 1043205016
- Provider Enumeration Date: 09/15/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3375604523
- Enrollment ID: I20081205000380
Medical Identifiers
Medical identifiers for Dr Jordan Spence Zuckerman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043205016 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207NS0135X | Dermatology - Procedural Dermatology | 168660 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| New York Dermatology, Pc | 4284796715 | 3 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jordan Spence Zuckerman allows following entities to bill medicare on his behalf.
| Entity Name | New York Dermatology, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881879773
PECOS PAC ID: 4284796715
Enrollment ID: O20081217000609 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jordan Spence Zuckerman is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Jordan Spence Zuckerman, MD
2383 Bell Blvd, Upper Level,
Bayside, NY 11360-2053
Ph: (718) 423-0200 | Dr Jordan Spence Zuckerman, MD
2383 Bell Blvd, Upper Level,
Bayside, NY 11360-2053
Ph: (718) 423-0200 |
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