| Berkshire Medicine Inc. | |
|
163 South St Pittsfield MA 01201-6988 | |
| (413) 442-3309 | |
| (413) 358-9014 |
| Full Name | Berkshire Medicine Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 163 South St, Pittsfield, Massachusetts |
| Authorized Official Name and Position | Barry Lobovits (PRESIDENT) |
| Authorized Official Contact | 4134423309 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkshire Medicine Inc. 163 South St Pittsfield MA 01201-6988 Ph: (413) 442-3309 | Berkshire Medicine Inc. 163 South St Pittsfield MA 01201-6988 Ph: (413) 442-3309 |
| NPI Number | 1699969329 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 09/06/2007 |
| Medicare PECOS PAC ID | 8921070145 |
|---|---|
| Medicare Enrollment ID | O20040809001051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699969329 | NPI | - | NPPES |
| M19071 | Other | MA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 39562 (Massachusetts) | Primary |
| Provider Name | Barry Lobovits |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801890165 PECOS PAC ID: 9436121654 Enrollment ID: I20040809001186 |
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