Jordan S Porter, DNP | |
229 Main St, Machias, ME 04654-3606 | |
(207) 255-4567 | |
Not Available |
Full Name | Jordan S Porter |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 229 Main St, Machias, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285286591 | NPI | - | NPPES |
1528087004 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN66553 (Maine) | Secondary |
363L00000X | Nurse Practitioner | CNP191169 (Maine) | Primary |
Entity Name | Sebasticook Valley Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457461477 PECOS PAC ID: 3476462797 Enrollment ID: O20040513001197 |
Entity Name | Eastport Health Care, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093752917 PECOS PAC ID: 3577592880 Enrollment ID: O20050808000284 |
Entity Name | Sebasticook Valley Health |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1457461477 PECOS PAC ID: 3476462797 Enrollment ID: O20061104000123 |
Entity Name | Down East Community Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1528087004 PECOS PAC ID: 6709858194 Enrollment ID: O20061104000353 |
Mailing Address | Practice Location Address |
---|---|
Jordan S Porter, DNP 11 Hospital Dr, Machias, ME 04654-3325 Ph: (207) 255-4567 | Jordan S Porter, DNP 229 Main St, Machias, ME 04654-3606 Ph: (207) 255-4567 |
Kristina Bailey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 Obrien Ave, Machias, ME 04654 Phone: 207-255-0980 | |
Evan T Merrill, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Hospital Dr, Machias, ME 04654 Phone: 207-255-3356 | |
Sandra Manship, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 160 Dublin St, Machias, ME 04654 Phone: 207-255-8290 Fax: 207-853-6180 | |
Kelly Leslie, APRN-FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 160 Dublin St, Machias, ME 04654 Phone: 207-255-8290 | |
Beth Wands, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 397 Elm St, Machias, ME 04654 Phone: 386-481-4179 |