Dr Gary S Shalan, MD | |
777 North Street, Pittsfield, MA 01201 | |
(413) 499-8531 | |
(413) 499-8560 |
Full Name | Dr Gary S Shalan |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 777 North Street, Pittsfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356390405 | NPI | - | NPPES |
110056996A | Medicaid | MA | |
3150810 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 150239 (Massachusetts) | Primary |
Entity Name | Community Health Programs Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013953009 PECOS PAC ID: 5799746608 Enrollment ID: O20041025000193 |
Mailing Address | Practice Location Address |
---|---|
Dr Gary S Shalan, MD P.o. Box 30, Great Barrington, MA 01230 Ph: (413) 528-9311 | Dr Gary S Shalan, MD 777 North Street, Pittsfield, MA 01201 Ph: (413) 499-8531 |
Dr. Alan Gray Kulberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 777 North St Ste 305, Berkshire Pediatric Associates Pc, Pittsfield, MA 01201 Phone: 413-499-8535 Fax: 413-499-8535 | |
Betsy K Valade, D.O Pediatrics Medicare: Medicare Enrolled Practice Location: 777 North Street, Pittsfield, MA 01201 Phone: 413-499-8531 Fax: 413-499-8560 | |
Adam Gicewicz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 758 East St, Pittsfield, MA 01201 Phone: 134-448-8212 Fax: 413-443-5296 | |
John C Dallenbach, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 426 East St, Pittsfield, MA 01201 Phone: 413-442-8267 | |
David I Sorkin, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 725 North St, Pittsfield, MA 01201 Phone: 413-447-2000 | |
Janice Pride-boone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 777 North Street, Suite 305, Pittsfield, MA 01201 Phone: 413-499-8531 Fax: 413-499-8560 |