Dr Mark H Mandell, MD | |
72 Highland Ave, Pediatric Associates Of Greater Salem, Salem, MA 01970 | |
(978) 745-3050 | |
(978) 744-9594 |
Full Name | Dr Mark H Mandell |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 72 Highland Ave, Salem, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942272240 | NPI | - | NPPES |
2091321 | Medicaid | MA | |
050827 | Other | TUFTS | |
J02433 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 50826 (Massachusetts) | Primary |
Entity Name | Pediatric Associates Of Greater Salem Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134191125 PECOS PAC ID: 4284648270 Enrollment ID: O20060130000173 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark H Mandell, MD 72 Highland Ave, Pediatric Associates Of Greater Salem, Salem, MA 01970 Ph: (978) 745-3050 | Dr Mark H Mandell, MD 72 Highland Ave, Pediatric Associates Of Greater Salem, Salem, MA 01970 Ph: (978) 745-3050 |
Linda J Morgan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 57 Highlands Ave, Er, Salem, MA 01970 Phone: 978-354-2815 Fax: 978-744-9247 | |
Jean L Sheeley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 72 Highland Ave, Salem, MA 01970 Phone: 978-745-3050 Fax: 978-744-9594 | |
Dr. Donald T Mcauliffe, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 72 Highland Avenue, Pediatric Associates Of Greater Salem, Salem, MA 01970 Phone: 978-445-3050 Fax: 978-744-9594 | |
Dr. Cheryl M D Souza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 72 Highland Ave, Pediatric Associates Of Greater Salem, Salem, MA 01970 Phone: 978-745-3050 Fax: 978-744-9594 | |
Dr. Donna Khodarahmi Wren, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 81 Highland Ave, North Shore Medical Center, Salem, MA 01970 Phone: 978-354-2815 Fax: 978-740-4702 | |
Dr. Jocelyn Sicat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 72 Highland Ave, Salem, MA 01970 Phone: 978-745-3050 | |
Andrea P Tish, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 57 Highland Ave, Er, Salem, MA 01970 Phone: 978-354-2815 Fax: 978-744-9247 |