Tiron Cm Pechet, MD | |
265 Westgate Dr, Brockton, MA 02301-1817 | |
(800) 258-4674 | |
(508) 897-7599 |
Full Name | Tiron Cm Pechet |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 265 Westgate Dr, 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 |
---|---|---|---|
1548266653 | NPI | - | NPPES |
110058093A | Medicaid | MA | |
PEJ16954 | Other | MA | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 82072 (Massachusetts) | Primary |
Entity Name | Shields Radiology Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518913805 PECOS PAC ID: 8527026103 Enrollment ID: O20041229000475 |
Mailing Address | Practice Location Address |
---|---|
Tiron Cm Pechet, MD 265 Westgate Dr, Brockton, MA 02301-1817 Ph: (800) 258-4674 | Tiron Cm Pechet, MD 265 Westgate Dr, Brockton, MA 02301-1817 Ph: (800) 258-4674 |
Steven Hun Kyu Oh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Radiology Department, Brockton, MA 02301 Phone: 508-427-3106 Fax: 508-427-2538 | |
Stephen T Sweriduk, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 Westgate Dr, Brockton, MA 02301 Phone: 800-258-4674 Fax: 508-897-3198 | |
Ketan Patel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 Westgate Dr, Brockton, Brockton, MA 02301 Phone: 800-258-4674 Fax: 508-897-3198 | |
George William Poulos, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Signature Healthcare, Brockton Hospital, Radiology, Brockton, MA 02302 Phone: 508-941-7150 | |
Jorge Ganson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 235 N Pearl St, Radiology Department, Brockton, MA 02301 Phone: 508-427-3106 Fax: 508-427-2538 | |
David S Titelbaum, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 Westgate Dr, Brockton, MA 02301 Phone: 800-258-4674 Fax: 508-897-3198 | |
Donald M Greenstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Radiology Department, Brockton, MA 02301 Phone: 508-427-3106 Fax: 508-427-2538 |