John D Leimert, MD | |
100 Rosebrook Way, Wareham, MA 02571-1138 | |
(508) 973-4942 | |
(508) 973-0306 |
Full Name | John D Leimert |
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Gender | Male |
Speciality | Pediatrics |
Location | 100 Rosebrook Way, Wareham, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568407393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 55255 (Massachusetts) | Primary |
Entity Name | Southcoast Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
Mailing Address | Practice Location Address |
---|---|
John D Leimert, MD 200 Mill Rd, Fairhaven, MA 02719-5252 Ph: (508) 973-2000 | John D Leimert, MD 100 Rosebrook Way, Wareham, MA 02571-1138 Ph: (508) 973-4942 |
Elizabeth C Coughlin, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 53 Marion Road, Suite One, Wareham, MA 02571 Phone: 508-295-8622 Fax: 508-295-4909 | |
Jason E Reynolds, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 53 Marion Rd, Suite One, Wareham, MA 02571 Phone: 508-295-8622 Fax: 508-295-4909 | |
Michelle L Anderson, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 53 Marion Road, Suite One, Wareham, MA 02571 Phone: 508-295-8622 Fax: 508-295-4909 | |
Jennifer D Russell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 53 Marion Rd, Wareham, MA 02571 Phone: 508-295-8622 Fax: 508-295-5386 | |
Steven J Mendes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 53 Marion Rd/suite 1, Wareham Pediatrics, Wareham, MA 02571 Phone: 508-295-8622 Fax: 508-295-5386 | |
John A Conway, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 53 Marion Rd, Suite One, Wareham, MA 02571 Phone: 508-295-8622 Fax: 508-295-4909 |