| |
10 West St, W Hatfield, MA 01088-9554 | |
(413) 397-8900 | |
(413) 247-6151 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist - Foot Surgery |
Location | 10 West St, W Hatfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245275114 | NPI | - | NPPES |
9733931 | Medicaid | MA | |
Y77340 | Other | MA | BCBS GROUP # |
623330 | Other | MA | TUFTS GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0131X | Podiatrist - Foot Surgery | 2161 (Massachusetts) | Primary |
Provider Name | Louis J Decaro |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1457311615 PECOS PAC ID: 4385537570 Enrollment ID: I20040203000321 |
Provider Name | Daniel Paknia |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1538114210 PECOS PAC ID: 9436149119 Enrollment ID: I20060627000357 |
Mailing Address | Practice Location Address |
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10 West St, W Hatfield, MA 01088-9554 Ph: (413) 397-8900 | 10 West St, W Hatfield, MA 01088-9554 Ph: (413) 397-8900 |