Tracy A Lieu, MD | |
228 Billerica Rd, Chelmsford, MA 01824-3604 | |
(978) 250-6300 | |
Not Available |
Full Name | Tracy A Lieu |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 228 Billerica Rd, Chelmsford, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770562316 | NPI | - | NPPES |
158947 | Other | MA | TUFTS |
0137201 | Medicaid | MA | |
J19972 | Other | MA | BLUE CROSS |
0022340 | Other | MA | NEIGHBORHOOD HEALTH |
PP901 | Other | MA | HARVARD PILGRIM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 158947 (Massachusetts) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Tracy A Lieu, MD 147 Milk St, Provider Enrollment - 9th Floor, Boston, MA 02109-4806 Ph: (617) 559-8374 | Tracy A Lieu, MD 228 Billerica Rd, Chelmsford, MA 01824-3604 Ph: (978) 250-6300 |
Chandra Ramanathan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 228 Billerica Rd, Chelmsford, MA 01824 Phone: 978-250-6000 | |
Dr. Mark Gordon Gilchrist, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4 Meeting House Rd, Chelmsford, MA 01824 Phone: 978-250-4081 Fax: 978-250-3956 | |
Sheila L Morehouse, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7 Village Sq, Chelmsford, MA 01824 Phone: 978-256-4363 | |
Jennifer Marie Liano, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 228 Billerica Rd, Chelmsford, MA 01824 Phone: 978-250-6300 | |
Francheyska Silfa Mazara, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3 Kirby Ln, Chelmsford, MA 01824 Phone: 617-650-1685 | |
Dr. Lorna Shaw Melo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 228 Billerica Rd, Pediatrics Dept, Chelmsford, MA 01824 Phone: 978-250-6300 | |
Beril Bayrak, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7 Village Sq, Chelmsford, MA 01824 Phone: 978-256-4363 Fax: 978-256-1565 |