| Digestive Disease Associates Pc | |
|
47 Obery St Ste 201 Plymouth MA 02360-2230 | |
| (508) 747-1560 | |
| (508) 747-5155 |
| Full Name | Digestive Disease Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 47 Obery St, Plymouth, Massachusetts |
| Authorized Official Name and Position | Jonathan M Russo (PRESIDENT) |
| Authorized Official Contact | 5087471560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Disease Associates Pc 47 Obery St Ste 201 Plymouth MA 02360 Ph: (508) 747-1560 | Digestive Disease Associates Pc 47 Obery St Ste 201 Plymouth MA 02360-2230 Ph: (508) 747-1560 |
| NPI Number | 1174700421 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 11/15/2016 |
| Medicare PECOS PAC ID | 4688748973 |
|---|---|
| Medicare Enrollment ID | O20080805000341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174700421 | NPI | - | NPPES |
| 3020835 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Jonathan M Russo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184681892 PECOS PAC ID: 9335195064 Enrollment ID: I20050325000392 |
| Provider Name | Steven M Kappler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265490163 PECOS PAC ID: 5597791145 Enrollment ID: I20050714000542 |
| Provider Name | Brian Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639336423 PECOS PAC ID: 9234284951 Enrollment ID: I20090902000190 |
Sergio Camargo,m.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Long Pond Rd, Suite 205, Plymouth, MA 02360 Phone: 508-726-2284 Fax: 508-747-5027 | |
Ask Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 Long Pond Rd Ste 101, Plymouth, MA 02360 Phone: 781-247-5500 Fax: 781-247-5215 | |
1620 Primary Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Long Pond Rd Ste 110, Plymouth, MA 02360 Phone: 508-591-3111 Fax: 774-283-9949 | |
Housecall Physicians, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 Phone: 774-343-2432 | |
Plymouth Carver Primary Care, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Long Pond Rd, Suite 212, Plymouth, MA 02360 Phone: 508-746-7272 | |
Plymouth Carver Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Long Pond Rd, Suite 212, Plymouth, MA 02360 Phone: 508-746-7272 Fax: 508-746-0104 |