Matthew J Petersile, MD | |
55 Lake Ave N, Worcester, MA 01655-0002 | |
(508) 334-3068 | |
Not Available |
Full Name | Matthew J Petersile |
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Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 55 Lake Ave N, Worcester, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639531544 | NPI | - | NPPES |
110116724A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 277195 (Massachusetts) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 277195 (Massachusetts) | Primary |
Entity Name | Umass Memorial Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
Entity Name | Digestive Health Specialists, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205895257 PECOS PAC ID: 7416911011 Enrollment ID: O20041115000039 |
Mailing Address | Practice Location Address |
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Matthew J Petersile, MD Po Box 415348, Boston, MA 02241-5348 Ph: () - | Matthew J Petersile, MD 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 334-3068 |
Dr. Adepeju Gbadebo Champion, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-2731 Fax: 774-442-4672 | |
Madaiah Lokeshwari, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-6849 | |
Sowmya Korapati, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3550 Fax: 774-442-6715 | |
Irma Nadeem Hashmi, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000 | |
Dr. Madhav Sharma, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5438 | |
Daniel M Steigman, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 123 Summer Street, Suite 390, Worcester, MA 01608 Phone: 508-368-3120 Fax: 508-368-3121 | |
Dr. Julia D Andrieni, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of General Medicine, Worcester, MA 01655 Phone: 508-334-2731 |