<unavail> in Leominster, MA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Leominster, Massachusetts. The current practice location for is 165 Mill St, Leominster, Massachusetts. For appointments, you can reach them via phone at (978) 878-8100. The mailing address for is 326 Nichols Rd, Fitchburg, Massachusetts and phone number is (978) 878-8100.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205566106. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (978) 878-8100.

Contact Information


	165 Mill St Leominster MA 01453-3289
	(978) 878-8100
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	165 Mill St, Leominster, Massachusetts
Authorized Official Name and Position	John A Demalia (PRESIDENT AND CEO)
Authorized Official Contact	9788788510
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
326 Nichols Rd Fitchburg MA 01420-1914 Ph: (978) 878-8100	165 Mill St Leominster MA 01453-3289 Ph: (978) 878-8100

NPI Details:

NPI Number	1205566106
Provider Enumeration Date	06/14/2022
Last Update Date	01/03/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	8729074992
Medicare Enrollment ID	O20220729000928

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205566106	NPI	-	NPPES
M21400	Other	MA	MEDICARE PART B PTAN
221962	Other	MA	MEDICARE PART A PTAN
110028187L	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QC1500X	Clinic/center - Community Health	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Susan M Murphy
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1376631325 PECOS PAC ID: 1850398330 Enrollment ID: I20061025000511

Reviews and Comments

Clinic/Center in Leominster, MA

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Rd, Suite 1c, Leominster, MA 01453 Phone: 978-466-4212 Fax: 978-466-4669
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1069 Central St, Leominster, MA 01453 Phone: 978-534-3500

- Medicare Primary Care in Leominster, MA