Matthew G Masiello, MD | |
60 Hospital Rd, Leominster, MA 01453-2205 | |
(978) 466-2257 | |
(978) 466-2291 |
Full Name | Matthew G Masiello |
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Gender | Male |
Speciality | Pediatrics |
Location | 60 Hospital Rd, Leominster, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720083892 | NPI | - | NPPES |
001395041 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD048546L (Pennsylvania) | Secondary |
208000000X | Pediatrics | 58679 (Massachusetts) | Primary |
Entity Name | Baystate Medical Practices Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080 |
Entity Name | Children's Hospital Pediatric Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
Entity Name | Physicians Of Cape Cod Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679832364 PECOS PAC ID: 9638326671 Enrollment ID: O20120828000193 |
Mailing Address | Practice Location Address |
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Matthew G Masiello, MD Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Matthew G Masiello, MD 60 Hospital Rd, Leominster, MA 01453-2205 Ph: (978) 466-2257 |
Janice Lee Son, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 60 Hospital Rd, Leominster, MA 01453 Phone: 978-466-2257 | |
Lazaros Xanthopoulos, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 60 Hospital Rd, Leominster, MA 01453 Phone: 978-466-2000 | |
Michael Lyons, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Hospital Rd, Suite 4, Leominster, MA 01453 Phone: 978-514-6300 Fax: 978-514-6324 | |
Dr. Rashmi Bhopi, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 60 Hospital Rd, Leominster, MA 01453 Phone: 978-466-2257 Fax: 978-466-2291 | |
Toby M Milgrome, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 165 Mill St, Leominster, MA 01453 Phone: 978-534-6500 Fax: 978-534-2991 | |
Sejal Daga, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Hospital Rd, Suite 4, Leominster, MA 01453 Phone: 978-514-6300 Fax: 978-514-6324 | |
Ingrid Cruse, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Hospital Rd, Suite 4, Leominster, MA 01453 Phone: 978-514-6300 Fax: 978-514-6324 |