Commonwealth Medical Practice Llc | |
505 Nashua Rd Ste 8 Dracut MA 01826-1929 | |
(978) 957-4474 | |
Not Available |
Full Name | Commonwealth Medical Practice Llc |
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Speciality | Internal Medicine |
Location | 505 Nashua Rd Ste 8, Dracut, Massachusetts |
Authorized Official Name and Position | Mohammed Jaleel (MD) |
Authorized Official Contact | 9789574474 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Commonwealth Medical Practice Llc 505 Nashua Rd Ste 8 Dracut MA 01826-1929 Ph: (978) 957-4474 | Commonwealth Medical Practice Llc 505 Nashua Rd Ste 8 Dracut MA 01826-1929 Ph: (978) 957-4474 |
NPI Number | 1073121489 |
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Provider Enumeration Date | 07/21/2020 |
Last Update Date | 12/01/2021 |
Medicare PECOS PAC ID | 5092134742 |
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Medicare Enrollment ID | O20200929002417 |
Identifier | Type | State | Issuer |
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1073121489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Maureen A Bencale |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578513750 PECOS PAC ID: 5496718728 Enrollment ID: I20050707000698 |
Provider Name | Smita Chetan Chaudhari |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134298540 PECOS PAC ID: 3870692163 Enrollment ID: I20120417000034 |
Provider Name | Namita Tiwari |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437417854 PECOS PAC ID: 0547670531 Enrollment ID: I20201103000490 |
Provider Name | Diana M Bishop |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447954177 PECOS PAC ID: 4486029949 Enrollment ID: I20230414000476 |
Provider Name | Teresa Booth |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013792290 PECOS PAC ID: 5799133542 Enrollment ID: I20231205000417 |
Provider Name | Yunus Yusuf Kalule |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922715903 PECOS PAC ID: 9032568803 Enrollment ID: I20231206001120 |
Carlos A Del Rio Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Nashua Rd, Suite 1, Dracut, MA 01826 Phone: 978-957-9650 Fax: 978-957-9017 | |
Nasim Ghaffar, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Nashua Rd, Dracut, MA 01826 Phone: 978-957-4474 Fax: 978-957-4475 | |
Vadim Schaldenko Mdpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Nashua Rd, Suite 12, Dracut, MA 01826 Phone: 978-957-4850 | |
Dracut Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Broadway Rd, Dracut, MA 01826 Phone: 978-458-0475 |