| Evolve Health, P.c. | |
|
275 Hancock St Suite 203 Quincy MA 02171-2249 | |
| (617) 934-2020 | |
| (617) 481-9918 |
| Full Name | Evolve Health, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 275 Hancock St, Quincy, Massachusetts |
| Authorized Official Name and Position | Umer Sayeed-shah (PRESIDENT) |
| Authorized Official Contact | 6179342020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Health, P.c. 275 Hancock St Suite 203 Quincy MA 02171-2249 Ph: (617) 934-2020 | Evolve Health, P.c. 275 Hancock St Suite 203 Quincy MA 02171-2249 Ph: (617) 934-2020 |
| NPI Number | 1760887434 |
|---|---|
| Provider Enumeration Date | 10/23/2014 |
| Last Update Date | 03/24/2015 |
| Medicare PECOS PAC ID | 7618291998 |
|---|---|
| Medicare Enrollment ID | O20150114001308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760887434 | NPI | - | NPPES |
| 1396966206 | Medicaid | MA | |
| 1942314059 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Provider Name | Anthony Tabacco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699733535 PECOS PAC ID: 1153359799 Enrollment ID: I20050803000899 |
| Provider Name | Agustin M Florian |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1841385317 PECOS PAC ID: 2264466705 Enrollment ID: I20050923000126 |
| Provider Name | Umer Sayeed Shah |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1396966206 PECOS PAC ID: 3375446248 Enrollment ID: I20090622000665 |
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