Dr Tivon Isaac Sidorsky, MD, MBA, FAAD | |
1 Scobee Cir Ste 3, Plymouth, MA 02360-4887 | |
(508) 747-0711 | |
Not Available |
Full Name | Dr Tivon Isaac Sidorsky |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 14 Years |
Location | 1 Scobee Cir Ste 3, Plymouth, 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 |
---|---|---|---|
1285952846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 258818 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Dermatology Associates Pc | 3072403799 | 75 |
Entity Name | Northeast Dermatology Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104921162 PECOS PAC ID: 3072403799 Enrollment ID: O20040317000655 |
Entity Name | South Shore Skin Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790763159 PECOS PAC ID: 9739164328 Enrollment ID: O20050119000422 |
Mailing Address | Practice Location Address |
---|---|
Dr Tivon Isaac Sidorsky, MD, MBA, FAAD 1 Scobee Cir Ste 3, Plymouth, MA 02360-4887 Ph: (508) 747-0711 | Dr Tivon Isaac Sidorsky, MD, MBA, FAAD 1 Scobee Cir Ste 3, Plymouth, MA 02360-4887 Ph: (508) 747-0711 |
Dr. Katherine Jane Ayers, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1 Scobee Cir, Unit 3, Plymouth, MA 02360 Phone: 508-747-0711 Fax: 508-746-9265 | |
Dr. Frederick David Wax, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 345 Court St, Suite 201, Plymouth, MA 02360 Phone: 508-747-0050 Fax: 508-747-2001 | |
Dr. Navid Bouzari, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1 Scobee Cir Ste 3, South Shore Skin Center, Plymouth, MA 02360 Phone: 508-747-0711 Fax: 508-746-9265 | |
Dr. Jeffrey N Farber, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 345 Court St, Suite 201, Plymouth, MA 02360 Phone: 508-746-5300 Fax: 508-747-2001 | |
Ramzi William Saad, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1 Scobee Cir, Unit 3, Plymouth, MA 02360 Phone: 508-747-0711 Fax: 508-746-9265 | |
Dr. Ricardo Pollitt, M.D., PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1 Scobee Cir, Plymouth, MA 02360 Phone: 508-747-0711 |