Shruti Pathak, MD | |
63 Main St, Suite 1, Brockton, MA 02301-4042 | |
(508) 559-6699 | |
(508) 559-5073 |
Full Name | Shruti Pathak |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 17 Years |
Location | 63 Main St, Brockton, Massachusetts |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124301304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 259344 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Good Samaritan Medical Center | Brockton, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brockton Neighborhood Health Center | 3870491699 | 56 |
Entity Name | Brockton Neighborhood Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225085319 PECOS PAC ID: 3870491699 Enrollment ID: O20031230000558 |
Mailing Address | Practice Location Address |
---|---|
Shruti Pathak, MD 63 Main St, Brockton, MA 02301-4042 Ph: (508) 559-6699 | Shruti Pathak, MD 63 Main St, Suite 1, Brockton, MA 02301-4042 Ph: (508) 559-6699 |
Dr. Peggy Mentor, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 940 Belmont St, Brockton, MA 02301 Phone: 857-364-4418 Fax: 774-826-3157 | |
Dr. Kevin Raymond Gendreau, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-565-0097 | |
Mrs. Jessica Dasilva, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Pleasant St, Brockton, MA 02301 Phone: 508-586-7706 | |
Miss Jessica Chang Lim, F.N.P. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 Torrey St, Brockton, MA 02301 Phone: 508-588-1200 Fax: 508-941-0497 | |
Ms. Lindsay Jill Kaplan, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Pearl St Ste 2100, Brockton, MA 02301 Phone: 508-897-6040 | |
Christine Murcott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 | |
Sasikala Sannapareddy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-583-4649 |