Jordan Glicksman, MD | |
104 Endicott St Ste 100, Danvers, MA 01923-3623 | |
(978) 745-6601 | |
Not Available |
Full Name | Jordan Glicksman |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 14 Years |
Location | 104 Endicott St Ste 100, Danvers, 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 |
---|---|---|---|
1124479282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 270202 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Massachusetts Eye And Ear Infirmary - | Boston, MA | Hospital |
Newton-wellesley Hospital | Newton, MA | Hospital |
Brigham And Women's Hospital | Boston, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Massachusetts Eye And Ear Associates, Inc | 4486540275 | 335 |
New England Ear Nose And Throat Llc | 7618125931 | 7 |
Entity Name | Massachusetts Eye And Ear Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932574332 PECOS PAC ID: 4486540275 Enrollment ID: O20040227000123 |
Entity Name | North Shore Ear, Nose & Throat Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619940780 PECOS PAC ID: 9032138367 Enrollment ID: O20051116000507 |
Entity Name | New England Ear Nose And Throat Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013279108 PECOS PAC ID: 7618125931 Enrollment ID: O20120912000005 |
Mailing Address | Practice Location Address |
---|---|
Jordan Glicksman, MD 104 Endicott St Ste 100, Danvers, MA 01923-3623 Ph: (978) 745-6601 | Jordan Glicksman, MD 104 Endicott St Ste 100, Danvers, MA 01923-3623 Ph: (978) 745-6601 |
Dr. Anna E. Petropoulos, M.D., F.R.C.S. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 80 Lindall St, Danvers, MA 01923 Phone: 978-739-9500 Fax: 978-739-9502 | |
Dr. Allen Lee Feng, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 Endicott St Ste 100, Danvers, MA 01923 Phone: 978-745-6601 | |
Dr. Richard E Mugge, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 Endicott St, Suite 100, Danvers, MA 01923 Phone: 978-745-6601 Fax: 978-624-4040 | |
Dr. Philip Ryan Molarte Camilon, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 104 Endicott St Ste 100, Danvers, MA 01923 Phone: 978-745-6601 Fax: 978-744-4872 | |
Dr. James L Demetroulakos, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 Endicott St, Suite 100, Danvers, MA 01923 Phone: 978-745-6601 Fax: 978-624-4040 | |
William R Nicholas, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 127 Locust St, Danvers, MA 01923 Phone: 978-774-8886 |