Richard J Church, MD | |
55 Lake Ave N, Worcester, MA 01655-0002 | |
(508) 421-1400 | |
(508) 421-1490 |
Full Name | Richard J Church |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 20 Years |
Location | 55 Lake Ave N, Worcester, 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 |
---|---|---|---|
1336254390 | NPI | - | NPPES |
110075427A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PT0002X | Emergency Medicine - Medical Toxicology | 227863 (Massachusetts) | Secondary |
207P00000X | Emergency Medicine | 227863 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Umass Memorial Medical Center/university Campus | Worcester, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Umass Memorial Medical Group Inc | 4284539891 | 1898 |
Entity Name | Umass Memorial Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
Mailing Address | Practice Location Address |
---|---|
Richard J Church, MD Po Box 415348, Boston, MA 02241-5348 Ph: () - | Richard J Church, MD 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 421-1400 |
Hillary R. Irons, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-421-1400 Fax: 508-421-1490 | |
Dr. Thomas Evans, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 281 Lincoln St, Med Staff Svcs, Worcester, MA 01605 Phone: 508-334-8015 | |
Romolo J. Gaspari, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-421-1400 Fax: 508-421-1490 | |
Alexander Hart, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000 | |
Roderick Cross, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000 | |
Austin Tam, MD, SCM Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5000 | |
Robert Brewer, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 281 Lincoln St, Medical Staff Svcs, Worcester, MA 01605 Phone: 508-421-1439 |