Dr Gary Miller Proulx, MD | |
70 East St, Methuen, MA 01844-4597 | |
(978) 687-0151 | |
Not Available |
Full Name | Dr Gary Miller Proulx |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 32 Years |
Location | 70 East St, Methuen, 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 |
---|---|---|---|
1194798165 | NPI | - | NPPES |
P00362286 | Other | NY | RR MEDICARE PIN |
CC9269 | Other | PA | RR MEDICARE GROUP |
0016314520003 | Medicaid | PA | |
01753942 | Medicaid | NY | |
920007329 | Other | PA | RR MEDICARE PIN |
CC8362 | Other | NY | RR MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 206678-1 (New York) | Primary |
2085R0001X | Radiology - Radiation Oncology | MD419971 (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Holy Family Hospital | Methuen, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Steward Medical Group Inc | 2860688728 | 1338 |
Entity Name | Massachusetts General Physicians Organization Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | Steward Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
Mailing Address | Practice Location Address |
---|---|
Dr Gary Miller Proulx, MD 100 Metropolitan Park Dr Ste 100, Liverpool, NY 13088-7112 Ph: (315) 870-9370 | Dr Gary Miller Proulx, MD 70 East St, Methuen, MA 01844-4597 Ph: (978) 687-0151 |
Robert Schall, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 70 East St, Methuen, MA 01844 Phone: 978-982-3004 | |
Robert Hannon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 East St, Methuen, MA 01844 Phone: 978-682-3004 | |
Peter Cary, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 70 East St, Northern Radiology Associates, Methuen, MA 01844 Phone: 978-682-3004 | |
Daniel F Flynn, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 70 East St, Methuen, MA 01844 Phone: 978-683-9209 Fax: 978-687-4468 |