Jon D Dorfman, MD | |
55 Lake Ave N, Department Of Surgery, Worcester, MA 01655-0002 | |
(508) 856-5288 | |
(508) 856-4224 |
Full Name | Jon D Dorfman |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 21 Years |
Location | 55 Lake Ave N, Worcester, 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 |
---|---|---|---|
1306837190 | NPI | - | NPPES |
110073533A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | 227175 (Massachusetts) | Primary |
208600000X | Surgery | 227175 (Massachusetts) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Umass Memorial Medical Center/university Campus | Worcester, MA | Hospital |
Milford Regional Medical Center | Milford, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Umass Memorial Medical Group Inc | 4284539891 | 1898 |
Entity Name | Umass Memorial Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
Entity Name | Baystate Medical Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080 |
Mailing Address | Practice Location Address |
---|---|
Jon D Dorfman, MD Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Jon D Dorfman, MD 55 Lake Ave N, Department Of Surgery, Worcester, MA 01655-0002 Ph: (508) 856-5288 |
Elizabeth A Mahanor, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-368-3190 Fax: 508-368-3193 | |
Dr. Craig A Paterson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Department Of General Surgery, Worcester, MA 01605 Phone: 508-334-8195 | |
Dr. John M Castle, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 281 Lincoln St, Department Of Surgery, Worcester, MA 01605 Phone: 508-334-5958 Fax: 508-334-5752 | |
Frank Traupman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 281 Lincoln St, Medical Staff Svcs, Worcester, MA 01605 Phone: 508-334-8015 | |
Philip A Cohen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Department Of Surgery, Worcester, MA 01655 Phone: 508-856-7559 Fax: 508-856-4224 | |
Mary Elise Huerter, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3278 Fax: 508-334-7284 | |
Jennifer Fantasia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 33 Kendall St, Worcester, MA 01605 Phone: 083-348-7655 Fax: 508-334-9477 |