Syed M Imam, MD | |
110 Liberty St, Brockton, MA 02301-5521 | |
(508) 894-0400 | |
(508) 894-0412 |
Full Name | Syed M Imam |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 110 Liberty St, Brockton, 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 |
---|---|---|---|
1972789592 | NPI | - | NPPES |
2153165 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 234647 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Brockton Vna | Brockton, MA | Home health agency |
Signature Healthcare Brockton Hospital | Brockton, MA | Hospital |
South Shore Hospital | South weymouth, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Signature Healthcare Medical Group Inc | 7719876267 | 178 |
Entity Name | Signature Healthcare Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372 |
Mailing Address | Practice Location Address |
---|---|
Syed M Imam, MD 110 Liberty St, Brockton, MA 02301-5521 Ph: (508) 894-0400 | Syed M Imam, MD 110 Liberty St, Brockton, MA 02301-5521 Ph: (508) 894-0400 |
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 |