| Congenial Healthcare, Llc | |
|
1 Roosevelt Ave Ste 201 Peabody MA 01960-2227 | |
| (978) 536-0215 | |
| (978) 536-0230 |
| Full Name | Congenial Healthcare, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Roosevelt Ave Ste 201, Peabody, Massachusetts |
| Authorized Official Name and Position | Alain Chaoui (PRESIDENT) |
| Authorized Official Contact | 9785360215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Congenial Healthcare, Llc 1 Roosevelt Ave Ste 201 Peabody MA 01960-2227 Ph: (978) 536-0215 | Congenial Healthcare, Llc 1 Roosevelt Ave Ste 201 Peabody MA 01960-2227 Ph: (978) 536-0215 |
| NPI Number | 1730608720 |
|---|---|
| Provider Enumeration Date | 09/12/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5395011522 |
|---|---|
| Medicare Enrollment ID | O20171016002508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730608720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Amani B Michael |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568451615 PECOS PAC ID: 4789581950 Enrollment ID: I20031216000431 |
| Provider Name | Michael D Medlock |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902887185 PECOS PAC ID: 4880684109 Enrollment ID: I20040517001313 |
| Provider Name | Francis M Harte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992881643 PECOS PAC ID: 5597735878 Enrollment ID: I20050518001232 |
| Provider Name | David W Douglas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154340420 PECOS PAC ID: 5799712782 Enrollment ID: I20050721000202 |
| Provider Name | Alain A Chaoui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023064789 PECOS PAC ID: 7719916725 Enrollment ID: I20050810000657 |
| Provider Name | Suzanne C Baughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770626517 PECOS PAC ID: 5597798470 Enrollment ID: I20050912000887 |
| Provider Name | Bhagwan D Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750497277 PECOS PAC ID: 0749206886 Enrollment ID: I20051018001230 |
| Provider Name | Prathima V Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669447298 PECOS PAC ID: 9739196775 Enrollment ID: I20060315000593 |
| Provider Name | Shant Parseghian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366476731 PECOS PAC ID: 7315944485 Enrollment ID: I20090831000602 |
| Provider Name | Carolyn Mancini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528392990 PECOS PAC ID: 1658410766 Enrollment ID: I20091203000183 |
| Provider Name | Jill Roffman Levine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952566002 PECOS PAC ID: 5496894396 Enrollment ID: I20091207000392 |
| Provider Name | Keith W Rae |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1437137643 PECOS PAC ID: 6103083670 Enrollment ID: I20120210000646 |
| Provider Name | Jelena Kupcevic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619731585 PECOS PAC ID: 2860830791 Enrollment ID: I20240410003183 |
Lahey Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Essex Center Dr, Peabody, MA 01960 Phone: 781-744-8000 | |
Peabody Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 89 Foster St, Peabody, MA 01960 Phone: 978-532-4903 Fax: 978-532-4995 | |
Family Medicine North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Roosevelt Ave Ste 201, Peabody, MA 01960 Phone: 978-536-0215 | |
Emad Younan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Centennial Dr, Peabody, MA 01960 Phone: 978-532-2652 | |
Brooksby Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Brooksby Village Dr, Peabody, MA 01960 Phone: 978-536-7850 Fax: 978-536-7051 | |
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 | |
Well Life Medical P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 1st Ave Ste 215, Peabody, MA 01960 Phone: 978-740-2300 |