Dr Michael Jordan, MD is a
Preventive Medicine - Aerospace Medicine physician based in Setauket, New York. Dr Michael Jordan is licensed to practice in New York (license number 125543-1) and his current practice location is 2 Stone Gate Ct, Setauket, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 974-5018.
NPI number for Dr Michael Jordan is 1629493275 and his current mailing address is 2 Stone Gate Ct, Setauket, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629493275.
Physician's Profile
| Full Name | Dr Michael Jordan |
|---|
| Gender | Male |
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| Speciality | Preventive Medicine - Aerospace Medicine |
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| Location | 2 Stone Gate Ct, Setauket, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629493275
- Provider Enumeration Date: 02/19/2014
- Last Update Date: 12/05/2014
Medical Identifiers
Medical identifiers for Dr Michael Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629493275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 125543-1 (New York) | Primary |
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 Michael Jordan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Michael Jordan, MD
2 Stone Gate Ct,
Setauket, NY 11733-1346
Ph: (631) 974-5018 | Dr Michael Jordan, MD
2 Stone Gate Ct,
Setauket, NY 11733-1346
Ph: (631) 974-5018 |
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