Jerry Chi Chuan Fang, MD | |
110 Liberty St, Brockton, MA 02301-5674 | |
(508) 894-0400 | |
Not Available |
Full Name | Jerry Chi Chuan Fang |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 12 Years |
Location | 110 Liberty St, Brockton, 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 |
---|---|---|---|
1437413242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | MT202572 (Pennsylvania) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 283804 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carney Hospital | Boston, MA | Hospital |
Signature Healthcare Brockton Hospital | Brockton, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Signature Healthcare Medical Group Inc | 7719876267 | 178 |
Entity Name | Signature Healthcare Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372 |
Mailing Address | Practice Location Address |
---|---|
Jerry Chi Chuan Fang, MD 110 Liberty St, Brockton, MA 02301-5674 Ph: (508) 894-0400 | Jerry Chi Chuan Fang, MD 110 Liberty St, Brockton, MA 02301-5674 Ph: (508) 894-0400 |
Susan Diver, RPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 215 Thatcher St, Brockton, MA 02302 Phone: 508-583-5834 | |
Dr. Tara Samantha Swim, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-565-3055 Fax: 508-894-0757 | |
Meredith Celine Harrington, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-941-7000 | |
Dr. John Alexander Wallington, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-565-3055 Fax: 508-894-0757 | |
Rosealiza Wan Zaid, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 425 Pleasant St Ste 202, Brockton, MA 02301 Phone: 508-640-5000 | |
Emily Lane Carney, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 940 Belmont St, Brockton, MA 02301 Phone: 508-583-4500 |