Jordan Blake Siu, DO | |
133 Old Road To 9 Acre Cor, Concord, MA 01742-4169 | |
(586) 263-2972 | |
Not Available |
Full Name | Jordan Blake Siu |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 6 Years |
Location | 133 Old Road To 9 Acre Cor, Concord, 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 |
---|---|---|---|
1548624935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 5151010109 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Care Dimensions, Inc | Danvers, MA | Hospice |
Emerson Hospital - | W concord, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emerson Practice Associates, Inc | 8123188117 | 176 |
Entity Name | Emerson Practice Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508020199 PECOS PAC ID: 8123188117 Enrollment ID: O20081120000518 |
Mailing Address | Practice Location Address |
---|---|
Jordan Blake Siu, DO 200 Mullins Dr, Lebanon, OR 97355-3983 Ph: () - | Jordan Blake Siu, DO 133 Old Road To 9 Acre Cor, Concord, MA 01742-4169 Ph: (586) 263-2972 |
Dr. William Judson Burtis, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 747 Main St, Suite 123, Concord, MA 01742 Phone: 978-287-9590 Fax: 978-287-5700 | |
Dr. Paul David D'ambrosio, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2284 Main St, Concord, MA 01742 Phone: 978-369-5575 Fax: 978-371-9189 | |
Richard P Schwartz, MD PC Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 131 Ornac Ste 510, John Cuming Building, Concord, MA 01742 Phone: 978-776-6186 Fax: 978-776-6189 | |
Thomas Lamattina, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 131 Ornac, Concord, MA 01742 Phone: 978-371-0796 | |
Dr. Peter Scott Benjamin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 Ornac, Concord, MA 01742 Phone: 978-287-3627 | |
Stephen M Dyda, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 131 Ornac, Concord, MA 01742 Phone: 978-287-8767 | |
Martha W Gilpatrick, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 140 Revolutionary Rd, Concord, MA 01742 Phone: 781-724-9086 |