Jims D. Jean-Jacques, D.O
Individual provider Active NPI Cardiovascular Disease Physician · Bangor, ME
NPI 1528291218 · NPPES record last updated Feb 15, 2022
Key facts
- NPI
- 1528291218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- DO2708 (ME)
- Practice address
- 360 Broadway
Cardiology Department
Bangor, ME 04401-3985 - Phone
- (207) 907-1770
- Fax
- (207) 907-3675
- NPI assigned
- Aug 27, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Rutgers School of Dental Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Joseph Hospital
Practice addresses (Care Compare)
360 Broadway
Bangor, ME 04401-3979
Phone (207) 907-3650
Hospital & facility affiliations
- St Joseph Hospital
- Northern Light Eastern Maine Medical Center
- Penobscot Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.58 of 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Alternative Health Services of St. Joseph Inc. |
Home health agency | Corporate Director (7.14%) | Jan 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171006002380 | ME | Practitioner - Cardiovascular Disease (Cardiology) |
1759608466 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO2708 | ME | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Hospital | Current |
Accepting new patients | |
| Warren Urgent Care PC | Past |
Accepting new patients | |
| Southgate Urgent Care PC | Past |
Accepting new patients |
Locations
360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703
360 Broadway
Bangor, ME 04401
Phone (207) 262-1703
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | DO2708 | ME | Yes |
Addresses
Primary practice location
360 Broadway
Cardiology Department
Bangor, ME 04401-3985
Mailing address
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8941
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tvreeland613935@direct-prd.goodhelpconnections.org |
Other providers in Bangor, ME
- Vessa Jandreau
- Alan Jansujwicz
- Joshua Kaufmann Jantzi
- Maureen M Jarrett
- James W Jarvis
- Argenta Jane Jeffrey
- Ryan Michael Jeffrey
- Qurat-Ul-Ain Jelani
- Constance I Jenkins
- Jennifer Weaver LCSW Counseling
All providers in Bangor, ME · Cardiovascular Disease Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.