| Groton Medical Associates, Llc | |
|
100 Boston Rd Groton MA 01450-1860 | |
| (978) 448-4300 | |
| (978) 448-4040 |
| Full Name | Groton Medical Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Boston Rd, Groton, Massachusetts |
| Authorized Official Name and Position | Thomas Goodman (OWNER PHYSICIAN) |
| Authorized Official Contact | 9784484300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Groton Medical Associates, Llc 100 Boston Rd Groton MA 01450-1860 Ph: (978) 448-4300 | Groton Medical Associates, Llc 100 Boston Rd Groton MA 01450-1860 Ph: (978) 448-4300 |
| NPI Number | 1144362740 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 11/17/2010 |
| Medicare PECOS PAC ID | 6709809411 |
|---|---|
| Medicare Enrollment ID | O20060109000874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144362740 | NPI | - | NPPES |
| 9764283 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RR0500X | Internal Medicine - Rheumatology | (* (Not Available)) | Secondary |
| Provider Name | Thomas A Goodman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194702555 PECOS PAC ID: 2961442496 Enrollment ID: I20050504000719 |
| Provider Name | Alfred W Heinser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871570218 PECOS PAC ID: 0042230625 Enrollment ID: I20051128000620 |
| Provider Name | Beverly M Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255585485 PECOS PAC ID: 0345302410 Enrollment ID: I20140625001881 |
| Provider Name | Ashley Smith-boutin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073922464 PECOS PAC ID: 5092079418 Enrollment ID: I20180510000774 |
| Provider Name | Meredith L Julian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669917696 PECOS PAC ID: 4587082201 Enrollment ID: I20200914000198 |
Jessica Hebert Ot, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 597 Old Dunstable Rd, Groton, MA 01450 Phone: 781-414-9777 | |
John P. Katzenberg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 292 Main St., Groton, MA 01450 Phone: 978-448-6855 Fax: 978-448-2202 |