| Psych Care Assoc Pc | |
|
77 Winsor St Suite 101 Ludlow MA 01056-3469 | |
| (413) 583-6750 | |
| (413) 589-7001 |
| Full Name | Psych Care Assoc Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 77 Winsor St, Ludlow, Massachusetts |
| Authorized Official Name and Position | Usman M Qayyum (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4135836750 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych Care Assoc Pc 77 Winsor St Suite 101 Ludlow MA 01056-3469 Ph: (413) 583-6750 | Psych Care Assoc Pc 77 Winsor St Suite 101 Ludlow MA 01056-3469 Ph: (413) 583-6750 |
| NPI Number | 1598770984 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7517021967 |
|---|---|
| Medicare Enrollment ID | O20090129000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598770984 | NPI | - | NPPES |
| BCBS OF MA | Other | MA | M19012 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mohammad U Qayyum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922094762 PECOS PAC ID: 9638126634 Enrollment ID: I20050401000371 |
| Provider Name | Asimah Qayyum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285622506 PECOS PAC ID: 4082646559 Enrollment ID: I20050906000468 |
| Provider Name | Anne Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194712067 PECOS PAC ID: 1254495781 Enrollment ID: I20090129000014 |
| Provider Name | Yousuf Allawala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497709810 PECOS PAC ID: 8224046354 Enrollment ID: I20210601001372 |
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