Penelope Kagan, | |
1 Pearl St Ste 2100, Brockton, MA 02301-2868 | |
(508) 897-6040 | |
(508) 897-6045 |
Full Name | Penelope Kagan |
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Gender | Female |
Speciality | Internal Medicine |
Location | 1 Pearl St Ste 2100, 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 |
---|---|---|---|
1194341008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 1015538 (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: O20101119000332 |
Mailing Address | Practice Location Address |
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Penelope Kagan, 98 Bolton St, Boston, MA 02127-1106 Ph: () - | Penelope Kagan, 1 Pearl St Ste 2100, Brockton, MA 02301-2868 Ph: (508) 897-6040 |
Louis D. Gottlieb, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 680 Centre St, Managed Care, Brockton, MA 02302 Phone: 508-941-7065 Fax: 508-941-6373 | |
Gloria Ibarra, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-559-5073 | |
Elsie Varughese, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-583-4649 | |
Jane G Butlin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Pearl St, Suite 2200, Brockton, MA 02301 Phone: 508-897-6051 Fax: 508-897-6096 | |
Jacob Mandell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton Hospital, Brockton, MA 02302 Phone: 508-941-7150 | |
Jolly Abeskheron, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Pearl St, Suite 1000, Brockton, MA 02301 Phone: 508-897-6060 Fax: 508-897-6063 | |
Xin He, Internal Medicine Medicare: Medicare Enrolled Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 |