Dr Keith T Tracy, MD | |
780 Main St, S Weymouth, MA 02190-1622 | |
(781) 331-4600 | |
(781) 337-5095 |
Full Name | Dr Keith T Tracy |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 24 Years |
Location | 780 Main St, S Weymouth, 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 |
---|---|---|---|
1477511871 | NPI | - | NPPES |
2119561 | Medicaid | MA | |
AA62481 | Other | MA | HARVARD PILGRIM |
494983 | Other | MA | TUFTS HEALTH PLAN |
1238590 | Other | MA | AETNA |
J40295 | Other | MA | BLUE SHIELD |
116191 | Other | MA | FALLON |
1847716 | Other | MA | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 227369 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
South Shore Hospital | South weymouth, MA | Hospital |
Beth Israel Deaconess Hospital - Milton | Milton, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Shore Medical Center, Inc. | 3678487444 | 149 |
Coastal Medical Associates | 7113029257 | 424 |
Entity Name | South Shore Medical Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669411856 PECOS PAC ID: 3678487444 Enrollment ID: O20040413000332 |
Entity Name | Coastal Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932175684 PECOS PAC ID: 7113029257 Enrollment ID: O20070221000057 |
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: O20101119000007 |
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 Keith T Tracy, MD 780 Main St, S Weymouth, MA 02190-1622 Ph: (781) 331-4600 | Dr Keith T Tracy, MD 780 Main St, S Weymouth, MA 02190-1622 Ph: (781) 331-4600 |