| |
200 Copeland Dr Mansfield MA 02048-1225 | |
(508) 339-4144 | |
(508) 261-9940 |
Full Name | |
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Speciality | Internal Medicine |
Location | 200 Copeland Dr, Mansfield, Massachusetts |
Authorized Official Name and Position | Amy Pfeffer (CFO) |
Authorized Official Contact | 5082368175 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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200 Copeland Dr Mansfield MA 02048-1225 Ph: (508) 339-4144 | 200 Copeland Dr Mansfield MA 02048-1225 Ph: (508) 339-4144 |
NPI Number | 1871515874 |
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Provider Enumeration Date | 07/25/2006 |
Last Update Date | 07/12/2024 |
Medicare PECOS PAC ID | 4981653789 |
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Medicare Enrollment ID | O20050216000546 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871515874 | NPI | - | NPPES |
M15972 | Other | MA | MABC |
Provider Name | Steven E Ross |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043409451 PECOS PAC ID: 4486693124 Enrollment ID: I20050926000429 |
Provider Name | Laura M Amorese-o'connell |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1518278290 PECOS PAC ID: 0749428779 Enrollment ID: I20131010001108 |
Provider Name | Emily Weibel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730781915 PECOS PAC ID: 7517378276 Enrollment ID: I20201201002632 |
Provider Name | Amit Grover |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164955910 PECOS PAC ID: 8628492212 Enrollment ID: I20230201001754 |
Provider Name | Ankita Jain |
---|---|
Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1053845412 PECOS PAC ID: 1355724543 Enrollment ID: I20230327001912 |
Provider Name | Sonal R. Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336344357 PECOS PAC ID: 4688720873 Enrollment ID: I20230928002975 |
Mcbrine & Vasconcellos Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Chauncey St, Mansfield, MA 02048 Phone: 508-339-2105 Fax: 508-339-5837 |