| |
100 Brooksby Village Dr Peabody MA 01960-1438 | |
(978) 536-7850 | |
(978) 536-7051 |
Full Name | |
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Speciality | Internal Medicine |
Location | 100 Brooksby Village Dr, Peabody, Massachusetts |
Authorized Official Name and Position | Matthew J Narrett (SENIOR VP AND CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 4104022257 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5730 Executive Dr Ste 230 Catonsville MD 21228-1762 Ph: (978) 536-7850 | 100 Brooksby Village Dr Peabody MA 01960-1438 Ph: (978) 536-7850 |
NPI Number | 1164442919 |
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Provider Enumeration Date | 07/21/2006 |
Last Update Date | 08/10/2023 |
Medicare PECOS PAC ID | 4183528300 |
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Medicare Enrollment ID | O20031120000423 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164442919 | NPI | - | NPPES |
1427124015 | Other | BCBS OF MA | |
9731610 | Medicaid | MA | |
M17596 | Other | BCBS |
Provider Name | Deepa Jhaveri |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1477549350 PECOS PAC ID: 2769471259 Enrollment ID: I20040510001065 |
Provider Name | Kimberly T Thurmond |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1376557942 PECOS PAC ID: 2961463583 Enrollment ID: I20041026000651 |
Provider Name | Judson L Siegel |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1497861587 PECOS PAC ID: 5890725287 Enrollment ID: I20050816000411 |
Provider Name | Christine M Cudihy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760449706 PECOS PAC ID: 1759313265 Enrollment ID: I20050906000835 |
Provider Name | Jennifer L Tam |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1477516516 PECOS PAC ID: 9032123773 Enrollment ID: I20060201000569 |
Provider Name | Jennifer Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528114550 PECOS PAC ID: 2668453689 Enrollment ID: I20070609000067 |
Provider Name | David G Mulder |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174505507 PECOS PAC ID: 9830290394 Enrollment ID: I20070911000155 |
Provider Name | Matthew J Narrett |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144293838 PECOS PAC ID: 3577475854 Enrollment ID: I20071031000217 |
Provider Name | Dimitar Dimitrov |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376798728 PECOS PAC ID: 8921258856 Enrollment ID: I20121030000310 |
Provider Name | Pamela J Whitlock |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205170503 PECOS PAC ID: 8022263904 Enrollment ID: I20130226000199 |
Provider Name | Margarita Castro-zarraga |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578705679 PECOS PAC ID: 5991948259 Enrollment ID: I20130905000642 |
Provider Name | John Marcelis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285667105 PECOS PAC ID: 4082753355 Enrollment ID: I20150312000701 |
Provider Name | Ajaykumar S Patel |
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Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1154337681 PECOS PAC ID: 4789879388 Enrollment ID: I20151022000844 |
Provider Name | Michelle Ann Ricupero |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801156658 PECOS PAC ID: 9032405790 Enrollment ID: I20160906001359 |
Provider Name | Shawna L Winfrey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629515655 PECOS PAC ID: 5092099440 Enrollment ID: I20170302000228 |
Provider Name | Carmel B O Doherty Popp |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245745678 PECOS PAC ID: 4486913597 Enrollment ID: I20180118001169 |
Provider Name | Susan E Hardy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124091905 PECOS PAC ID: 0648259069 Enrollment ID: I20191112000281 |
Provider Name | Joseph Salvatore Coppola |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1922637834 PECOS PAC ID: 5395104145 Enrollment ID: I20230711002946 |
Provider Name | Catherine E Reizun |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609337864 PECOS PAC ID: 1850628835 Enrollment ID: I20230810001308 |
Provider Name | Mariam S Bakir |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346304060 PECOS PAC ID: 4688731649 Enrollment ID: I20240624004462 |
Lahey Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Essex Center Dr, Peabody, MA 01960 Phone: 781-744-8000 | |
Emad Younan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Centennial Dr, Peabody, MA 01960 Phone: 978-532-2652 | |
St Marys Internal Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Essex Center Dr, Suite 304, Peabody, MA 01960 Phone: 978-854-6376 | |