Dr Stephen M Dierks, MD | |
250 Green St Ste 104, Gardner, MA 01440-1377 | |
(978) 669-5522 | |
(978) 669-5521 |
Full Name | Dr Stephen M Dierks |
---|---|
Gender | Male |
Speciality | Urology |
Location | 250 Green St Ste 104, Gardner, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508857731 | NPI | - | NPPES |
3157695 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 150601 (Massachusetts) | Primary |
Entity Name | Henry Heywood Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205823879 PECOS PAC ID: 1658262605 Enrollment ID: O20040322000360 |
Entity Name | Heywood Medical Group Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699762286 PECOS PAC ID: 6901882836 Enrollment ID: O20040629001351 |
Entity Name | Skilled Facility Health Care Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104018423 PECOS PAC ID: 9032299144 Enrollment ID: O20190416001569 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen M Dierks, MD Po Box 1327, Laconia, NH 03247-1327 Ph: (603) 524-3211 | Dr Stephen M Dierks, MD 250 Green St Ste 104, Gardner, MA 01440-1377 Ph: (978) 669-5522 |
Dr. Francis Anthony Garofalo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 250 Green St, Suite 210, Gardner, MA 01440 Phone: 978-669-5522 Fax: 978-669-5521 |