Jamila Yaqub, MD | |
110 Liberty St, Brockton, MA 02301-5521 | |
(508) 772-1438 | |
(508) 772-1439 |
Full Name | Jamila Yaqub |
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Gender | Female |
Speciality | Family Medicine |
Location | 110 Liberty St, Brockton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598910820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 239838 (Massachusetts) | Primary |
Entity Name | Steward Medical Group Inc |
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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 |
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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 |
---|---|
Jamila Yaqub, MD 110 Liberty St, Brockton, MA 02301-5521 Ph: (508) 894-0400 | Jamila Yaqub, MD 110 Liberty St, Brockton, MA 02301-5521 Ph: (508) 772-1438 |
Dr. Peggy Mentor, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 940 Belmont St, Brockton, MA 02301 Phone: 857-364-4418 Fax: 774-826-3157 | |
Dr. Kevin Raymond Gendreau, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-565-0097 | |
Mrs. Jessica Dasilva, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Pleasant St, Brockton, MA 02301 Phone: 508-586-7706 | |
Miss Jessica Chang Lim, F.N.P. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 Torrey St, Brockton, MA 02301 Phone: 508-588-1200 Fax: 508-941-0497 | |
Ms. Lindsay Jill Kaplan, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Pearl St Ste 2100, Brockton, MA 02301 Phone: 508-897-6040 | |
Christine Murcott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 | |
Sasikala Sannapareddy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-583-4649 |