Dr Amit Johnny Grover, MD | |
200 Copeland Dr, Mansfield, MA 02048-1225 | |
(508) 618-2175 | |
Not Available |
Full Name | Dr Amit Johnny Grover |
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Gender | Male |
Speciality | Family Medicine |
Location | 200 Copeland Dr, Mansfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164955910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 61816 (Tennessee) | Primary |
Entity Name | Dedicated Physicians Group Of Tennessee, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174144695 PECOS PAC ID: 5597187088 Enrollment ID: O20200630001589 |
Mailing Address | Practice Location Address |
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Dr Amit Johnny Grover, MD 200 Copeland Dr, Mansfield, MA 02048-1225 Ph: (508) 339-4144 | Dr Amit Johnny Grover, MD 200 Copeland Dr, Mansfield, MA 02048-1225 Ph: (508) 618-2175 |
Stephen Paul Kajencki, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 S Main St, Suite 304, Mansfield, MA 02048 Phone: 508-964-5560 Fax: 508-964-5570 | |
Sonal R. Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Copeland Dr, Mansfield, MA 02048 Phone: 508-339-4144 Fax: 508-342-1929 | |
Mark T Bright, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Copeland Dr, Mansfield, MA 02048 Phone: 508-339-4144 Fax: 508-261-9940 | |
Marguerite Garofalo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Chauncy St Ste 2, Mansfield, MA 02048 Phone: 508-339-2900 Fax: 508-680-8181 |