Davis Square Family Practice - Medicare Primary Care in Somerville, MA

Davis Square Family Practice is a medicare enrolled primary clinic (Family Medicine) in Somerville, Massachusetts. The current practice location for Davis Square Family Practice is 260 Elm St, Suite 105, Somerville, Massachusetts. For appointments, you can reach them via phone at (617) 666-9577. The mailing address for Davis Square Family Practice is 260 Elm St, Suite 105, Somerville, Massachusetts and phone number is (617) 666-9577.

Davis Square Family Practice is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1780782409. 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 (617) 666-9577.

Contact Information

Davis Square Family Practice
260 Elm St
Suite 105
Somerville
MA 02144-2951
(617) 666-9577
(617) 666-3190

Map and Direction


Primary Care Clinic Profile

Full NameDavis Square Family Practice
SpecialityFamily Medicine
Location260 Elm St, Somerville, Massachusetts
Authorized Official Name and PositionDeborah Bershel (OWNER)
Authorized Official Contact6176669577
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Davis Square Family Practice
260 Elm St
Suite 105
Somerville
MA 02144-2951

Ph: (617) 666-9577
Davis Square Family Practice
260 Elm St
Suite 105
Somerville
MA 02144-2951

Ph: (617) 666-9577

NPI Details:

NPI Number1780782409
Provider Enumeration Date09/20/2006
Last Update Date11/10/2011

Medicare PECOS Information:

Medicare PECOS PAC ID1355385196
Medicare Enrollment IDO20050614000069

Medical Identifiers

Medical identifiers for Davis Square Family Practice such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780782409NPI-NPPES
M18036OtherMABCBS
694934OtherMATUFTS HEALTH PLAN
80946OtherMAFALLON
9722131MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (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. Davis Square Family Practice acts as a billing entity for following providers:
Provider NameDeborah Bershel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437257227
PECOS PAC ID: 8123066297
Enrollment ID: I20050419001370
Provider NameMichelle L Clarke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104187798
PECOS PAC ID: 6204084247
Enrollment ID: I20120917000136
Provider NameCarmen Leah Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013328210
PECOS PAC ID: 4981829959
Enrollment ID: I20140707001643
Provider NameLisa J Mcgonigal
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1992250534
PECOS PAC ID: 0244506871
Enrollment ID: I20220818001982
Provider NameAndrea Dandridge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760636948
PECOS PAC ID: 4183885049
Enrollment ID: I20221026000240

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.