| Concord Primary Care,inc | |
|
131 Old Road To 9 Acre Cor Suite 810 Jcb Concord MA 01742-4181 | |
| (978) 318-0007 | |
| (978) 318-0056 |
| Full Name | Concord Primary Care,inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 131 Old Road To 9 Acre Cor, Concord, Massachusetts |
| Authorized Official Name and Position | Vineeta Joshi (PHYSICAIN) |
| Authorized Official Contact | 9783180007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concord Primary Care,inc Po Box 2669 Acton MA 01720-6669 Ph: (978) 318-0007 | Concord Primary Care,inc 131 Old Road To 9 Acre Cor Suite 810 Jcb Concord MA 01742-4181 Ph: (978) 318-0007 |
| NPI Number | 1316003429 |
|---|---|
| Provider Enumeration Date | 01/01/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2668435157 |
|---|---|
| Medicare Enrollment ID | O20041105000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316003429 | NPI | - | NPPES |
| J18209 | Other | MA | BCBS PROVIDER# |
| 137610 | Other | MA | TUFTS PROVIDER # |
| 6405 | Other | MA | FALLON PROVIDER # |
| 17782053 | Other | MA | TRICARE |
| M18857 | Other | MA | BCBSGROUP # |
| 2033845 | Other | MA | FIRST HEALTH |
| 2115197 | Other | MA | UNITED HEALTH CARE |
| 693861 | Other | MA | TUFTS GROUP # |
| 400094 | Other | MA | HPHC |
| 91080 | Other | MA | FALLON GROUP # |
| 1012166 | Other | MA | AETNA PROVIDER # |
| 3168794 | Medicaid | MA | |
| 3680770 | Other | MA | AETNA GROUP # |
| 9734601 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 154169 (Massachusetts) | Primary |
| Provider Name | Vineeta Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972614188 PECOS PAC ID: 1456314954 Enrollment ID: I20041109000096 |
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