Elm Tree Clinic, Llc - Medicare Primary Care in Lowell, MA

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Elm Tree Clinic, Llc is a medicare enrolled primary clinic (Internal Medicine) in Lowell, Massachusetts. The current practice location for Elm Tree Clinic, Llc is 12 Wood St, Lowell, Massachusetts. For appointments, you can reach them via phone at (617) 354-3555. The mailing address for Elm Tree Clinic, Llc is 11 Dexter Ave, Watertown, Massachusetts and phone number is (617) 354-3555.

Elm Tree Clinic, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1538609904. 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) 354-3555.

Contact Information

Elm Tree Clinic, Llc
12 Wood St
Lowell
MA 01851-1532
(617) 354-3555
(617) 481-4655

Map and Direction


Primary Care Clinic Profile

Full NameElm Tree Clinic, Llc
SpecialityInternal Medicine
Location12 Wood St, Lowell, Massachusetts
Authorized Official Name and PositionVictor V Torosyan (MEMBER)
Authorized Official Contact7813543555
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elm Tree Clinic, Llc
11 Dexter Ave
Watertown
MA 02472-4105

Ph: (617) 354-3555		Elm Tree Clinic, Llc
12 Wood St
Lowell
MA 01851-1532

Ph: (617) 354-3555

NPI Details:

NPI Number1538609904
Provider Enumeration Date03/03/2017
Last Update Date03/03/2017

Medicare PECOS Information:

Medicare PECOS PAC ID7517203300
Medicare Enrollment IDO20190116000758

Medical Identifiers

Medical identifiers for Elm Tree Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538609904NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal 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. Elm Tree Clinic, Llc acts as a billing entity for following providers:
Provider NameDavid S Chapin
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1235177528
PECOS PAC ID: 7810896149
Enrollment ID: I20040107000027
Provider NameKhalid Mohamed
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1427086719
PECOS PAC ID: 7719959204
Enrollment ID: I20040805001711
Provider NameBradford Lewis
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1588827430
PECOS PAC ID: 0042477432
Enrollment ID: I20120625000625
Provider NameEva S Connelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558609016
PECOS PAC ID: 5496072712
Enrollment ID: I20150326000521
Provider NameFarah Desrosiers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497104178
PECOS PAC ID: 2668768656
Enrollment ID: I20160830002533
Provider NameIgor Stavitsky
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1023094471
PECOS PAC ID: 0941598304
Enrollment ID: I20161018001222
Provider NameChinyere Mmaku Ofurum Ononiwu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023575081
PECOS PAC ID: 6507194594
Enrollment ID: I20190829001115
Provider NameMichael Patrick Macdonald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124597588
PECOS PAC ID: 4082047394
Enrollment ID: I20191127000340
Provider NameVitor Cardoso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255723664
PECOS PAC ID: 0042643181
Enrollment ID: I20191204001360
Provider NameJermaine Dario Okang Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104471416
PECOS PAC ID: 5890129134
Enrollment ID: I20191219002675
Provider NameHilda Adaeze Epelle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083258875
PECOS PAC ID: 5092139030
Enrollment ID: I20200722003642
Provider NameElizabeth W. Morrison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821193269
PECOS PAC ID: 5991845638
Enrollment ID: I20210405001462
Provider NameMaureen Mcmahon
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1871879957
PECOS PAC ID: 3577908862
Enrollment ID: I20240227000113

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.