Surjit S Maniktala, MD | |
30 Meadowbrook Rd, Brockton, MA 02301-7122 | |
(508) 584-9520 | |
Not Available |
Full Name | Surjit S Maniktala |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 30 Meadowbrook Rd, 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 |
---|---|---|---|
1801980594 | NPI | - | NPPES |
764557 | Other | MA | TUFTS HEALTH PLAN |
110057924A | Medicaid | MA | |
J13686 | Other | MA | BC/BS |
110211580 | Other | MA | RAIL ROAD MEDICARE |
698120 | Other | MA | HARVARD PILGRIM HEALTH CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 53518 (Massachusetts) | Primary |
Entity Name | High Point Treatment Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518996354 PECOS PAC ID: 3779578174 Enrollment ID: O20040415001222 |
Entity Name | Uhs Of Fuller Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316917222 PECOS PAC ID: 3274510003 Enrollment ID: O20040630000610 |
Entity Name | The Commonwealth Of Massachusetts |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871680496 PECOS PAC ID: 8820906860 Enrollment ID: O20060407000500 |
Mailing Address | Practice Location Address |
---|---|
Surjit S Maniktala, MD 30 Meadowbrook Rd, Brockton, MA 02301-7122 Ph: (508) 584-9520 | Surjit S Maniktala, MD 30 Meadowbrook Rd, Brockton, MA 02301-7122 Ph: (508) 584-9520 |
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 |