| Main Street Family Practice Pc | |
|
675 Main St Melrose MA 02176-3138 | |
| (781) 662-4934 | |
| (781) 662-4711 |
| Full Name | Main Street Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 675 Main St, Melrose, Massachusetts |
| Authorized Official Name and Position | Timothy Arthur Tierney (PRES.) |
| Authorized Official Contact | 7816624934 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Family Practice Pc 675 Main St Melrose MA 02176-3138 Ph: (781) 662-4934 | Main Street Family Practice Pc 675 Main St Melrose MA 02176-3138 Ph: (781) 662-4934 |
| NPI Number | 1598739526 |
|---|---|
| Provider Enumeration Date | 02/15/2006 |
| Last Update Date | 02/24/2011 |
| Medicare PECOS PAC ID | 5395633390 |
|---|---|
| Medicare Enrollment ID | O20040310000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598739526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Timothy A Tierney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306989066 PECOS PAC ID: 4880582782 Enrollment ID: I20050414000703 |
| Provider Name | Thomas G Salines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821051749 PECOS PAC ID: 3173561388 Enrollment ID: I20050419000824 |
| Provider Name | Jolanka Biro Pride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467829143 PECOS PAC ID: 2466744149 Enrollment ID: I20180531002115 |
David M. Wahl, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 Geneva Rd, Melrose, MA 02176 Phone: 617-877-1000 | |
Nicole Bloor, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 Main St, Melrose, MA 02176 Phone: 781-662-2204 Fax: 781-662-2253 | |
Massachusetts Acute Care Specialists Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 585 Lebanon St, Melrose, MA 02176 Phone: 781-979-3000 Fax: 781-979-3015 | |
Bay State Gastroenterology, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 536 Lebanon St, Melrose, MA 02176 Phone: 781-979-0286 Fax: 781-979-0324 | |
Carlo Cecchetti Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Tremont St, Suite 107, Melrose, MA 02176 Phone: 781-665-2058 | |
Nicola Mogavero Md Facr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 792 Main St, Melrose, MA 02176 Phone: 781-665-9066 Fax: 781-662-9758 | |
Luma Podiatry & Wound Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 585 Lebanon St, Melrose, MA 02176 Phone: 781-979-3500 |