Dr Daniel Evan Viders, MD | |
207 Southbridge St, Auburn, MA 01501-2548 | |
(508) 832-7118 | |
(508) 832-4758 |
Full Name | Dr Daniel Evan Viders |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 36 Years |
Location | 207 Southbridge St, Auburn, Massachusetts |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558354407 | NPI | - | NPPES |
043158835 | Other | MA | COMMERCIAL |
J12248 | Other | MA | BC BS OF MASS |
001422196 | Other | CT | TITLE 19 INS |
997001 | Other | MA | NETWORK HEALTH |
P1705911 | Other | CT | OXFORD HEALTH PLANS |
00142219600 | Other | CT | BLUE CARE FAMILY |
010075666M02 | Other | MA | ANTHEM BC BS |
000000028685 | Other | MA | BMC HEALTH NET |
0303009 | Other | MA | UNITED HEALTH PLANS |
075666 | Other | MA | TUFTS MASS |
010042219CT02 | Other | CT | ANTHEM BC BS |
17462 | Other | MA | HEALTH OF NEW ENGLAND |
3092917 | Medicaid | MA | |
2V2311 | Other | CT | HEALTH NET |
4294 | Other | MA | HARVARD PILGRIM |
620067 | Other | MA | US HEALTH CARE |
758835 | Other | CT | CONNECTICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 042219 (Connecticut) | Secondary |
207N00000X | Dermatology | 11477 (Rhode Island) | Secondary |
207N00000X | Dermatology | 75666 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Daniel E Viders Md Pc | 9931154283 | 4 |
Entity Name | Daniel E Viders Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033163126 PECOS PAC ID: 9931154283 Enrollment ID: O20060306000536 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel Evan Viders, MD 207 Southbridge St, Auburn, MA 01501-2548 Ph: (508) 832-7118 | Dr Daniel Evan Viders, MD 207 Southbridge St, Auburn, MA 01501-2548 Ph: (508) 832-7118 |
John R Person, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 385 Southbridge St, Auburn, MA 01501 Phone: 508-721-1180 Fax: 508-721-9106 |