Robert W Averill, MD is a
Dermatology physician based in Greenfield, Massachusetts. Robert W Averill is licensed to practice in Massachusetts (license number 41366) and his current practice location is 474 Main St, Greenfield, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(413) 774-3077.
NPI number for Robert W Averill is 1215924634 and his current mailing address is 474 Main St, Greenfield, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215924634.
Physician's Profile
| Full Name | Robert W Averill |
|---|
| Gender | Male |
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| Speciality | Dermatology |
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| Location | 474 Main St, Greenfield, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215924634
- Provider Enumeration Date: 09/30/2005
- Last Update Date: 03/15/2010
Medical Identifiers
Medical identifiers for Robert W Averill such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215924634 | NPI | - | NPPES |
| 0161918 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 41366 (Massachusetts) | Primary |
| 207N00000X | Dermatology | 6631 (New Hampshire) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert W Averill is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Robert W Averill, MD
474 Main St,
Greenfield, MA 01301-3315
Ph: (413) 774-3077 | Robert W Averill, MD
474 Main St,
Greenfield, MA 01301-3315
Ph: (413) 774-3077 |
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