Blackburn Primary Care | |
1 Blackburn Dr Gloucester MA 01930-2237 | |
(978) 281-1500 | |
(978) 282-3699 |
Full Name | Blackburn Primary Care |
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Speciality | Internal Medicine |
Location | 1 Blackburn Dr, Gloucester, Massachusetts |
Authorized Official Name and Position | Jay J Isaac (OWNER) |
Authorized Official Contact | 9782811500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Blackburn Primary Care 1 Blackburn Dr Gloucester MA 01930-2237 Ph: (978) 281-1500 | Blackburn Primary Care 1 Blackburn Dr Gloucester MA 01930-2237 Ph: (978) 281-1500 |
NPI Number | 1609281914 |
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Provider Enumeration Date | 06/25/2014 |
Last Update Date | 06/25/2014 |
Medicare PECOS PAC ID | 7416274832 |
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Medicare Enrollment ID | O20150324001706 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609281914 | NPI | - | NPPES |
3195601 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 160031 (Massachusetts) | Primary |
Provider Name | Jay J Isaac |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730134099 PECOS PAC ID: 5294748075 Enrollment ID: I20091007000014 |
Thompson Medical Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9f Dr Osman Babson Rd, Gloucester, MA 01930 Phone: 978-890-7373 Fax: 978-890-7372 | |
Cape Ann Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Blackburn Dr, Gloucester, MA 01930 Phone: 978-281-1500 Fax: 978-282-3699 | |
Thomas S. Pearce Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 279 E Main St, Gloucester, MA 01930 Phone: 978-282-4600 | |
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