Cynthia M Poulos, MD is a medicare enrolled "Plastic Surgery" physician in Northboro, Massachusetts. Her current practice location is
17 South St, Northboro, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 393-4544.
Cynthia M Poulos is licensed to practice in Massachusetts (license number 78672) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902864531.
Physician's Profile
Full Name | Cynthia M Poulos |
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Gender | Female |
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Speciality | Plastic Surgery |
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Location | 17 South St, Northboro, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902864531
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4789623901
- Enrollment ID: I20050427001014
Medical Identifiers
Medical identifiers for Cynthia M Poulos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902864531 | NPI | - | NPPES |
3118975 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 78672 (Massachusetts) | Primary |
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. Cynthia M Poulos 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 Address | Practice Location Address |
Cynthia M Poulos, MD 17 South St, Northboro, MA 01532 Ph: (508) 393-4544 | Cynthia M Poulos, MD 17 South St, Northboro, MA 01532 Ph: (508) 393-4544 |
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