Dr Myechia Minter-jordan, MD, MBA | |
55 Dimock St, Roxbury, MA 02119-1029 | |
(617) 442-8800 | |
Not Available |
Full Name | Dr Myechia Minter-jordan |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 55 Dimock St, Roxbury, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497705628 | NPI | - | NPPES |
803402800 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 230963 (Massachusetts) | Primary |
Entity Name | Dimock Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588719488 PECOS PAC ID: 7012810492 Enrollment ID: O20040202000242 |
Mailing Address | Practice Location Address |
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Dr Myechia Minter-jordan, MD, MBA 55 Dimock St, Roxbury, MA 02119-1029 Ph: (617) 442-8800 | Dr Myechia Minter-jordan, MD, MBA 55 Dimock St, Roxbury, MA 02119-1029 Ph: (617) 442-8800 |
Dr. Bela Rosa Bashar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Dimock St, Dimock Community Health Center, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-541-8472 | |
Monica M Morlote, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Dimock Street, Dimock Community Health Ctr, Roxbury, MA 02119 Phone: 617-442-8800 | |
Julie L Tishler, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 | |
Jagriti Upadhyay, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-442-4088 | |
Vasken M Kroshian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 818 Harrison Ave-acc-3, Bch-boston Med Center, Roxbury, MA 02118 Phone: 617-414-4374 | |
Herbert M Dreyer, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 Dimock Street, Dimock Comm Health Ctre, Roxbury, MA 02119 Phone: 617-442-8800 | |
Daniele Sebastiano Restifo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-541-8472 |