Umass Memorial Medical Group, Inc. - Medicare Mental Health Clinic in Worcester, MA

Umass Memorial Medical Group, Inc. is a medicare enrolled mental health clinic (Internal Medicine) in Worcester, Massachusetts. The current practice location for Umass Memorial Medical Group, Inc. is 55 Lake Ave N, Umass Memorial Medical Center, Worcester, Massachusetts. For appointments, you can reach them via phone at (508) 331-1000. The mailing address for Umass Memorial Medical Group, Inc. is Po Box 415348, Boston, Massachusetts and phone number is (800) 225-8885.

Umass Memorial Medical Group, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1760445373. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (508) 331-1000.

Contact Information

Umass Memorial Medical Group, Inc.
55 Lake Ave N
Umass Memorial Medical Center
Worcester
MA 01655-0002
(508) 331-1000
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameUmass Memorial Medical Group, Inc.
SpecialityInternal Medicine
Location55 Lake Ave N, Worcester, Massachusetts
Authorized Official Name and PositionGeraldine Vaughan (SVP/COO)
Authorized Official Contact5083340311
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Umass Memorial Medical Group, Inc.
Po Box 415348
Boston
MA 02241-5348

Ph: (800) 225-8885
Umass Memorial Medical Group, Inc.
55 Lake Ave N
Umass Memorial Medical Center
Worcester
MA 01655-0002

Ph: (508) 331-1000

NPI Details:

NPI Number1760445373
Provider Enumeration Date04/07/2006
Last Update Date08/22/2022
Certification Date08/22/2022

Medicare PECOS Information:

Medicare PECOS PAC ID4284539891
Medicare Enrollment IDO20040113000267

Medical Identifiers

Medical identifiers for Umass Memorial Medical Group, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760445373NPI-NPPES
110000045AMedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Secondary
104100000XSocial Worker (* (Not Available))Secondary
204F00000XTransplant Surgery (* (Not Available))Secondary
207L00000XAnesthesiology (* (Not Available))Secondary
207P00000XEmergency Medicine (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Secondary
207Y00000XOtolaryngology (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Umass Memorial Medical Group, Inc. acts as a billing entity for following providers:
Provider NameMark B Davidson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417948522
PECOS PAC ID: 0840194692
Enrollment ID: I20031122000082
Provider NameChristopher C Kennedy
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1164406393
PECOS PAC ID: 8729982244
Enrollment ID: I20031125000522
Provider NameRonald B Cruz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710962154
PECOS PAC ID: 2961307590
Enrollment ID: I20031205000244
Provider NameGeorgina K Nouaime
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1992755029
PECOS PAC ID: 2264338086
Enrollment ID: I20031211000161
Provider NameJoan B Dowd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376716365
PECOS PAC ID: 5496653909
Enrollment ID: I20031222000555
Provider NameAfroz S Saquib
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558344457
PECOS PAC ID: 9931001534
Enrollment ID: I20040123000635
Provider NameThomas Ptak
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1467436394
PECOS PAC ID: 9537052766
Enrollment ID: I20040203000533
Provider NameThomas A Fish
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1932100666
PECOS PAC ID: 2668365800
Enrollment ID: I20040203000571
Provider NameDennis M Dimitri
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902883499
PECOS PAC ID: 1658264668
Enrollment ID: I20040204000427
Provider NameChristine E Mikule
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912968256
PECOS PAC ID: 0547153561
Enrollment ID: I20040204000497
Provider NameMary Gulla
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902869571
PECOS PAC ID: 6800781873
Enrollment ID: I20040218000644
Provider NameJennifer D Walker
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1710978267
PECOS PAC ID: 3870489214
Enrollment ID: I20040224000420
Provider NameJohanna M Seddon
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1699753681
PECOS PAC ID: 2062309461
Enrollment ID: I20040301001102
Provider NamePatricia A Cappadona
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700264827
PECOS PAC ID: 4789572249
Enrollment ID: I20040306000125
Provider NameGordon S Manning
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235110594
PECOS PAC ID: 8921996166
Enrollment ID: I20040309000377
Provider NameRuth I Dahlstrom
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1053372862
PECOS PAC ID: 0042108243
Enrollment ID: I20040309000760
Provider NameRichard G Listerud
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1487635165
PECOS PAC ID: 4587552781
Enrollment ID: I20040309000765
Provider NameKaren Quillen
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1750354130
PECOS PAC ID: 6204725005
Enrollment ID: I20040311000326
Provider NameY Polly Xing
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1720089691
PECOS PAC ID: 8123917333
Enrollment ID: I20040315000739
Provider NameThomas Porter
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1770564551
PECOS PAC ID: 3173414547
Enrollment ID: I20040324000130
Provider NameLaureen M Sena
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1487635603
PECOS PAC ID: 1759272008
Enrollment ID: I20040324000669
Provider NamePatrick J Connolly
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1730170358
PECOS PAC ID: 4486546637
Enrollment ID: I20040325000237
Provider NameDavid J Bindman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1316993280
PECOS PAC ID: 2264324417
Enrollment ID: I20040325000268
Provider NameJeffrey Neil Winacoo
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1407996986
PECOS PAC ID: 9032001219
Enrollment ID: I20040325000444
Provider NameDonna M. Reed
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912946195
PECOS PAC ID: 5092707984
Enrollment ID: I20040331001343
Provider NameRobert Licho
Provider TypePractitioner - Nuclear Medicine
Provider IdentifiersNPI Number: 1831138189
PECOS PAC ID: 4688666464
Enrollment ID: I20040401000283
Provider NameJohn M Castle
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1033193289
PECOS PAC ID: 5496748725
Enrollment ID: I20040405000405
Provider NameEdward I Ginns
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1588646905
PECOS PAC ID: 6204829450
Enrollment ID: I20040405001288
Provider NameArno Sungarian
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1295791150
PECOS PAC ID: 3577556463
Enrollment ID: I20040406001319
Provider NameDavid Wexler
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1386628022
PECOS PAC ID: 6507859303
Enrollment ID: I20040407000273
Provider NameJohn J Kelly
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1356325062
PECOS PAC ID: 8628061447
Enrollment ID: I20040407000489
Provider NameIssam A Oneyssi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528026622
PECOS PAC ID: 0446244933
Enrollment ID: I20040408000747
Provider NameLan Qin
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1154303170
PECOS PAC ID: 9739071242
Enrollment ID: I20040409000154
Provider NameHarold J Simpson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1689601080
PECOS PAC ID: 7810981818
Enrollment ID: I20040413000437
Provider NameAdeleke Adebiyi Thomas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225087638
PECOS PAC ID: 2567459829
Enrollment ID: I20040428000936
Provider NameRussell D Donnelly
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1780672105
PECOS PAC ID: 5193713840
Enrollment ID: I20040503001067
Provider NameSorin C Herscovici
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1568429272
PECOS PAC ID: 2668460254
Enrollment ID: I20040503001452
Provider NameKarl Coyner
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1609861418
PECOS PAC ID: 8921096322
Enrollment ID: I20040504001234
Provider NameJuwen Lin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811969249
PECOS PAC ID: 6507855434
Enrollment ID: I20040507000021
Provider NameMary K Stanley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104949247
PECOS PAC ID: 6608857651
Enrollment ID: I20040526000910
Provider NameArturo Aguillon Bouche
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1174557839
PECOS PAC ID: 4587645411
Enrollment ID: I20040526001587
Provider NameNicola A Deangelis
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1801887120
PECOS PAC ID: 6608857495
Enrollment ID: I20040527000415
Provider NamePatricia Cross
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1083646368
PECOS PAC ID: 1557342151
Enrollment ID: I20040601000145
Provider NameNaomi F Botkin
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1831172766
PECOS PAC ID: 2466433834
Enrollment ID: I20040601000540
Provider NameLawrence M Rhein
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1144239427
PECOS PAC ID: 9931181336
Enrollment ID: I20040601000868
Provider NameLynn S Dowd
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1578537544
PECOS PAC ID: 0244220481
Enrollment ID: I20040603001005
Provider NameKirti Patel
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1104874312
PECOS PAC ID: 6709869183
Enrollment ID: I20040608000486
Provider NameTimothy C Fitzpatrick
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1760444145
PECOS PAC ID: 5799768008
Enrollment ID: I20040609000192
Provider NameJean Marie M Houghton
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1477536399
PECOS PAC ID: 9638153133
Enrollment ID: I20040614001003
Provider NameJenny H Yan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760457758
PECOS PAC ID: 6204810757
Enrollment ID: I20040614001334
Provider NameGyorgy L Varai
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1639117070
PECOS PAC ID: 6608850920
Enrollment ID: I20040615000966
Provider NameDaniel Z Silverstone
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1679561302
PECOS PAC ID: 0840274932
Enrollment ID: I20040616000542
Provider NameJames J Kelly
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1700993391
PECOS PAC ID: 5890779706
Enrollment ID: I20040617000560
Provider NameGlen D Raffel
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1487689097
PECOS PAC ID: 5991789737
Enrollment ID: I20040617000864
Provider NameTara B Brigham
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1457342172
PECOS PAC ID: 1557345337
Enrollment ID: I20040617001161
Provider NameJames B Broadhurst
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457334351
PECOS PAC ID: 8123002813
Enrollment ID: I20040618000222
Provider NameDavid R Remis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851373278
PECOS PAC ID: 9032194790
Enrollment ID: I20040618000821
Provider NameWilliam D Hoffman
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1619968740
PECOS PAC ID: 7012992373
Enrollment ID: I20040621001526
Provider NameKavita M Babu
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1235105503
PECOS PAC ID: 4284619347
Enrollment ID: I20040622001274
Provider NameSami H Erbay
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1306950290
PECOS PAC ID: 9436134400
Enrollment ID: I20040623000396
Provider NameTed M Kremer
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1760464184
PECOS PAC ID: 9830174770
Enrollment ID: I20040623000925
Provider NameHeather C Forkey
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1942291208
PECOS PAC ID: 5395720262
Enrollment ID: I20040623001137
Provider NameMaha N Farhat
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1578542742
PECOS PAC ID: 6709862501
Enrollment ID: I20040624000540
Provider NameMark J Simonelli
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1598759334
PECOS PAC ID: 5395723753
Enrollment ID: I20040712000825
Provider NameAndrey Sayko
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730112368
PECOS PAC ID: 7416935622
Enrollment ID: I20040713000432
Provider NameSapna Aggarwal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710054366
PECOS PAC ID: 3971581133
Enrollment ID: I20040713000821
Provider NameJayanthi Kumar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528041423
PECOS PAC ID: 4385622570
Enrollment ID: I20040713001007
Provider NameLisa M Arello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447224704
PECOS PAC ID: 8022097278
Enrollment ID: I20040720000464
Provider NameNicholas G Fillipon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851369599
PECOS PAC ID: 2365422763
Enrollment ID: I20040726000351
Provider NameMark T Collins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073550661
PECOS PAC ID: 0143290247
Enrollment ID: I20040727001215
Provider NameMaria C Kim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366459588
PECOS PAC ID: 3274503164
Enrollment ID: I20040728000969
Provider NameRobert H Brown
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1316951718
PECOS PAC ID: 1658341573
Enrollment ID: I20040728001199
Provider NameChristine L Petersen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1578554044
PECOS PAC ID: 5395715130
Enrollment ID: I20040728001447
Provider NameLinda M Paul
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114070497
PECOS PAC ID: 6800866559
Enrollment ID: I20040729000499
Provider NamePaula M Gardiner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114964731
PECOS PAC ID: 0345210035
Enrollment ID: I20040729000850
Provider NameAmanda G Angelescu
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1508848920
PECOS PAC ID: 8921078635
Enrollment ID: I20040729000979
Provider NameRichard T Ellison
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1548241292
PECOS PAC ID: 3779554175
Enrollment ID: I20040802000060
Provider NameBruce A Bornstein
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1770581308
PECOS PAC ID: 9133190465
Enrollment ID: I20040802001087
Provider NameJonathan D Vacik
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1528129640
PECOS PAC ID: 5799756946
Enrollment ID: I20040803000312
Provider NameAllan J Walkey
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1427030048
PECOS PAC ID: 2466423322
Enrollment ID: I20040804000272
Provider NameFatma Dedeoglu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1316053184
PECOS PAC ID: 4688645252
Enrollment ID: I20040805000713
Provider NameMary Dawn T Co
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1427030493
PECOS PAC ID: 0446221949
Enrollment ID: I20040805000982
Provider NameLee Mancini
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033165949
PECOS PAC ID: 8325019870
Enrollment ID: I20040805001428
Provider NameTiffany Moore Simas
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1124019435
PECOS PAC ID: 2163494428
Enrollment ID: I20040809000455
Provider NameChad E Darling
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1174514798
PECOS PAC ID: 8022080134
Enrollment ID: I20040810000303
Provider NameBrian R Szetela
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1659353571
PECOS PAC ID: 0840262812
Enrollment ID: I20040810000938
Provider NameDurga B Bathini
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093798076
PECOS PAC ID: 4880666718
Enrollment ID: I20040810001408
Provider NameSusan Ann Afonso
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1518922582
PECOS PAC ID: 8426020256
Enrollment ID: I20040811000677
Provider NameEllen Christine Wallace
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1720026552
PECOS PAC ID: 3476525205
Enrollment ID: I20040811000711
Provider NameMona M Korgaonkar
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1659325645
PECOS PAC ID: 3476525239
Enrollment ID: I20040811000892
Provider NameSeema Adhami
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1639169063
PECOS PAC ID: 0547232183
Enrollment ID: I20040812000739
Provider NameLaura L Gibson
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1801877535
PECOS PAC ID: 9335112978
Enrollment ID: I20040812001582
Provider NameClifford A Browning
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1922085273
PECOS PAC ID: 9133192776
Enrollment ID: I20040812001594
Provider NameSerge D Botsaris
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1679528095
PECOS PAC ID: 2466425939
Enrollment ID: I20040813000996
Provider NameMireya A Wessolossky
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1083604474
PECOS PAC ID: 2365415791
Enrollment ID: I20040814000215
Provider NameSarah H Hughes
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1669663761
PECOS PAC ID: 8729051917
Enrollment ID: I20040816001356
Provider NameJulian Sanchez Cruz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821071721
PECOS PAC ID: 0840263992
Enrollment ID: I20040817000395
Provider NameShahrzad Shidfar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235112202
PECOS PAC ID: 8224001136
Enrollment ID: I20040818000885
Provider NameJonathan Kay
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1699766964
PECOS PAC ID: 0749253474
Enrollment ID: I20040819000439
Provider NameVasilios Chrisostomidis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669458048
PECOS PAC ID: 1658344312
Enrollment ID: I20040819000686
Provider NameMira Torres
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1083697924
PECOS PAC ID: 6406820877
Enrollment ID: I20040823000111
Provider NameStephan Wicky Van Doyer
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1588655369
PECOS PAC ID: 0941275739
Enrollment ID: I20040826000276
Provider NameMustafa Akyurek
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1275523623
PECOS PAC ID: 5294700738
Enrollment ID: I20040830000135
Provider NameDouglas Fellows
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1063467827
PECOS PAC ID: 7618942970
Enrollment ID: I20040831000053
Provider NameScott H Gonzalez
Provider TypePractitioner - Geriatric Psychiatry
Provider IdentifiersNPI Number: 1477532224
PECOS PAC ID: 8729054333
Enrollment ID: I20040904000084
Provider NamePiotr Grabias
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508847419
PECOS PAC ID: 3779559232
Enrollment ID: I20040907000353
Provider NameAgata A Boland
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1154303964
PECOS PAC ID: 5092782847
Enrollment ID: I20040913000491
Provider NameGerald T Mcgillicuddy
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1932165891
PECOS PAC ID: 7517934284
Enrollment ID: I20040913000718
Provider NameMelanie A Ferguson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750350831
PECOS PAC ID: 0941277016
Enrollment ID: I20040916000966
Provider NameAllison Sacher
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1679510879
PECOS PAC ID: 6002883170
Enrollment ID: I20040916000989
Provider NameKaren L Wilk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740255967
PECOS PAC ID: 0547238321
Enrollment ID: I20040920000714
Provider NameSeth T Dahlberg
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1639152564
PECOS PAC ID: 6204804966
Enrollment ID: I20040921000080
Provider NameStephanie Claire Wiafe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407824873
PECOS PAC ID: 9234107897
Enrollment ID: I20040921000974
Provider NameJean A Frazier
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1477635233
PECOS PAC ID: 2264401439
Enrollment ID: I20040927000075
Provider NamePatrick Mcenaney
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1861476996
PECOS PAC ID: 0749259893
Enrollment ID: I20040927000556
Provider NameSyed H Kamil
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1427030840
PECOS PAC ID: 2860461852
Enrollment ID: I20040927000944
Provider NameIgor Rozenvald
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1568400851
PECOS PAC ID: 5193794956
Enrollment ID: I20040928001153
Provider NameJames E Fanale
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043293517
PECOS PAC ID: 3678542362
Enrollment ID: I20040929000658
Provider NameJennifer W Weyler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477538395
PECOS PAC ID: 1254390529
Enrollment ID: I20041004000883
Provider NameJesse N Aronowitz
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1073595286
PECOS PAC ID: 7618936253
Enrollment ID: I20041008000061
Provider NameJennifer P Wang
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1912989328
PECOS PAC ID: 0042270464
Enrollment ID: I20041012000095
Provider NameEdiz F Cosar
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1467442798
PECOS PAC ID: 3971563982
Enrollment ID: I20041014000273
Provider NameRani Alexander
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447232129
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Provider NameMichelle Madeline Shepard
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1861491391
PECOS PAC ID: 6406849645
Enrollment ID: I20240415000880
Provider NameVania X Wu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942876073
PECOS PAC ID: 1153724349
Enrollment ID: I20240415003073
Provider NamePeter Joshua Dacosta
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1295313823
PECOS PAC ID: 3971907064
Enrollment ID: I20240416001821
Provider NameUttam Bodanapally
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1922023035
PECOS PAC ID: 6406857044
Enrollment ID: I20240416002620
Provider NameChangqing Li
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902480023
PECOS PAC ID: 5092154203
Enrollment ID: I20240422001135
Provider NameChristopher Ilacqua
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1528291127
PECOS PAC ID: 9931432960
Enrollment ID: I20240423002122
Provider NameShruti Hegde
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1295143725
PECOS PAC ID: 7618268566
Enrollment ID: I20240425003921
Provider NameBryan Steven Quintanilla Rodriguez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306413141
PECOS PAC ID: 2163862731
Enrollment ID: I20240430000835
Provider NamePatrick Paul Lowe
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1225666514
PECOS PAC ID: 4284074873
Enrollment ID: I20240430001524
Provider NameRyan Scot Schum
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1144808387
PECOS PAC ID: 3173927100
Enrollment ID: I20240430002418
Provider NameHarsha Kumar
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1144808122
PECOS PAC ID: 4183028285
Enrollment ID: I20240430003102
Provider NameHolly Marie Dupuis
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1770160566
PECOS PAC ID: 3870995681
Enrollment ID: I20240430004227
Provider NameAlyssa Silk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083472526
PECOS PAC ID: 6709227788
Enrollment ID: I20240508000678
Provider NameJacqueline Fox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447875430
PECOS PAC ID: 6709227994
Enrollment ID: I20240520000856
Provider NameDanielle Aysha Sultan
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1457972614
PECOS PAC ID: 2860823986
Enrollment ID: I20240528001939
Provider NameVinca Chow
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1043575277
PECOS PAC ID: 9537309364
Enrollment ID: I20240529002028
Provider NameHannah Mcfadden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285492553
PECOS PAC ID: 2163964479
Enrollment ID: I20240601000573
Provider NameRyan Sutherland
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1114380433
PECOS PAC ID: 7618261678
Enrollment ID: I20240603004019
Provider NameWojciech Losos
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720665714
PECOS PAC ID: 0840692661
Enrollment ID: I20240610003196
Provider NameSanjay K Shah
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1588876585
PECOS PAC ID: 1759482482
Enrollment ID: I20240611004485

Reviews and Comments

Internal Medicine in Worcester, MA

Olivia Homan, Licsw, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 9 Cedar St, Worcester, MA 01609
Phone: 617-581-2267    
Autism Behavioral Health Services Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 140 Sterling St, Worcester, MA 01610
Phone: 508-321-3055    Fax: 508-321-3055
James P. Bresnahan
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 55 Cedar St, Worcester, MA 01609
Phone: 508-752-1170    Fax: 508-752-1800
Community Health Link
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 72 Jaques Ave, Worcester, MA 01610
Phone: 508-438-5578    Fax: 508-860-1023
Guided Growth Therapy Collective Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 24 Falcon St, Worcester, MA 01603
Phone: 508-769-2766    
Ld Psych Services
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 30 Allston Ave, Worcester, MA 01604
Phone: 508-356-4495    
Hope Wellness Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 465 Park Ave, Worcester, MA 01610
Phone: 508-713-1191    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.