| Medfield Internal Medicine, Pllc | |
|
266 Main St Ste 4 Medfield MA 02052-2018 | |
| (508) 359-8141 | |
| (508) 359-8005 |
| Full Name | Medfield Internal Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 266 Main St Ste 4, Medfield, Massachusetts |
| Authorized Official Name and Position | Russell E Kling (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5083598141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medfield Internal Medicine, Pllc 266 Main St Ste 4 Medfield MA 02052-2018 Ph: (508) 359-8141 | Medfield Internal Medicine, Pllc 266 Main St Ste 4 Medfield MA 02052-2018 Ph: (508) 359-8141 |
| NPI Number | 1174364723 |
|---|---|
| Provider Enumeration Date | 06/05/2024 |
| Last Update Date | 10/02/2024 |
| Medicare PECOS PAC ID | 0749714947 |
|---|---|
| Medicare Enrollment ID | O20241111002624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174364723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer T Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538443460 PECOS PAC ID: 5092982389 Enrollment ID: I20120127000613 |
| Provider Name | Laura L Mancuso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588073357 PECOS PAC ID: 4082834171 Enrollment ID: I20141014000741 |
| Provider Name | Russell Kling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497168983 PECOS PAC ID: 7719258334 Enrollment ID: I20230324000110 |
Mark H. Abensohn, M.d., L.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 266 Main St, Unit 4, Medfield, MA 02052 Phone: 508-359-8141 Fax: 508-359-8005 |