Jordan Samuel Dehaven, DPM - Medicare Podiatrist in Bristol, RI

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Jordan Samuel Dehaven, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Bristol, Rhode Island. He went to New York College Of Podiatric Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Medical Associates Of Ri, Inc. and his current practice location is 1180 Hope St, Bristol, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 253-8900.

Jordan Samuel Dehaven is licensed to practice in Rhode Island (license number DPM00328) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750510988.

Contact Information

Jordan Samuel Dehaven, DPM
1180 Hope St,
Bristol, RI 02809-1126
(401) 253-8900
(401) 253-3131

Map and Direction




Healthcare Provider's Profile

Full NameJordan Samuel Dehaven
GenderMale
SpecialityPodiatry
Experience17 Years
Location1180 Hope St, Bristol, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jordan Samuel Dehaven attended and graduated from New York College Of Podiatric Medicine in 2007
  NPI Data:
  • NPI Number: 1750510988
  • Provider Enumeration Date: 07/09/2009
  • Last Update Date: 10/27/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9739211400
  • Enrollment ID: I20100715000327

Medical Identifiers

Medical identifiers for Jordan Samuel Dehaven such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750510988NPI-NPPES
JD81548MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery DPM00328 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Miriam HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Associates Of Ri, Inc.337543204032

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jordan Samuel Dehaven allows following entities to bill medicare on his behalf.
Provider NameMedical Associates Of Ri, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1538161161
PECOS PAC ID: 3375432040
Enrollment ID: O20040311000761
Provider NameProspect Chartercare Rwmc, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1285059287
PECOS PAC ID: 0547492696
Enrollment ID: O20140728001672

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Samuel Dehaven is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jordan Samuel Dehaven, DPM
1180 Hope St,
Bristol, RI 02809-1126

Ph: (401) 253-8900		Jordan Samuel Dehaven, DPM
1180 Hope St,
Bristol, RI 02809-1126

Ph: (401) 253-8900

Reviews and Comments


Podiatrist in Bristol, RI

Dr. Michael Aaron Reuter, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1180 Hope St, Bristol, RI 02809
Phone: 401-253-8900    
Richard Alan Reuter, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 1180 Hope St, Bristol, RI 02809
Phone: 401-253-8900    Fax: 401-253-3131
Angela Fedorcuk, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 970 Hope Street, Suite 6, Bristol, RI 02809
Phone: 401-254-0922    Fax: 401-254-8894
Dr. Ryan Ames, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 1180 Hope St, Bristol, RI 02809
Phone: 401-253-8900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.