| Be Well Medical, Llc | |
|
245 Russell St Ste 20 Hadley MA 01035-9563 | |
| (413) 239-7111 | |
| Not Available |
| Full Name | Be Well Medical, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 245 Russell St Ste 20, Hadley, Massachusetts |
| Authorized Official Name and Position | Shiva Rastegar (PHYSICIAN) |
| Authorized Official Contact | 4134544581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Well Medical, Llc 38 Willard Grant Rd Sudbury MA 01776-1035 Ph: () - | Be Well Medical, Llc 245 Russell St Ste 20 Hadley MA 01035-9563 Ph: (413) 239-7111 |
| NPI Number | 1629689153 |
|---|---|
| Provider Enumeration Date | 08/10/2020 |
| Last Update Date | 12/02/2021 |
| Medicare PECOS PAC ID | 0143612564 |
|---|---|
| Medicare Enrollment ID | O20220117000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629689153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Shiva Rastegar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689955106 PECOS PAC ID: 1951573401 Enrollment ID: I20111006000050 |
Alignmed Medical Group Ma Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 N Maple St, Hadley, MA 01035 Phone: 413-584-5057 |