| Autumn Grace Medical Associates, Pc | |
|
188 Broadway Methuen MA 01844-3862 | |
| (978) 682-3939 | |
| (978) 686-9494 |
| Full Name | Autumn Grace Medical Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 188 Broadway, Methuen, Massachusetts |
| Authorized Official Name and Position | Chih Y Yeh (OWNER) |
| Authorized Official Contact | 9786823939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Grace Medical Associates, Pc 188 Broadway Methuen MA 01844-3862 Ph: (978) 682-3939 | Autumn Grace Medical Associates, Pc 188 Broadway Methuen MA 01844-3862 Ph: (978) 682-3939 |
| NPI Number | 1710905237 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 11/18/2014 |
| Medicare PECOS PAC ID | 4688638117 |
|---|---|
| Medicare Enrollment ID | O20041115001132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710905237 | NPI | - | NPPES |
| 91248 | Other | MA | FALLON |
| 9734571 | Medicaid | MA | |
| 2609134 | Other | MA | AETNA |
| 625144 | Other | MA | TUFTS |
| 04-10314 | Other | MA | UNITED HEALTHCARE |
| 5667662 | Other | MA | CIGNA |
| 65440 | Other | MA | HARVARD PILGRIM |
| M18876 | Other | MA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 080819 (Massachusetts) | Primary |
| Provider Name | Chih Y Yeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760400212 PECOS PAC ID: 2668436197 Enrollment ID: I20041116000220 |
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