Mill City Medical Group Ltd | |
45 Palmer Street Lowell MA 01852 | |
(978) 970-1607 | |
(978) 970-1115 |
Full Name | Mill City Medical Group Ltd |
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Speciality | Internal Medicine |
Location | 45 Palmer Street, Lowell, Massachusetts |
Authorized Official Name and Position | David C Pickul (PRESIDENT) |
Authorized Official Contact | 9789701607 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mill City Medical Group Ltd 45 Palmer Street Lowell MA 01852 Ph: (978) 970-1607 | Mill City Medical Group Ltd 45 Palmer Street Lowell MA 01852 Ph: (978) 970-1607 |
NPI Number | 1053346692 |
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Provider Enumeration Date | 07/12/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3577507797 |
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Medicare Enrollment ID | O20050617000355 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053346692 | NPI | - | NPPES |
9719628 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Mariana Z.a. Chemaly |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811183056 PECOS PAC ID: 3779642186 Enrollment ID: I20081030000028 |
Provider Name | Matthew D Savory |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861418964 PECOS PAC ID: 0042336141 Enrollment ID: I20100927000606 |
Provider Name | Pauline Tsirigotis |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760417331 PECOS PAC ID: 1052437902 Enrollment ID: I20100928001172 |
Provider Name | Jessica M Ames |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306147863 PECOS PAC ID: 6103003728 Enrollment ID: I20110608000575 |
Provider Name | Riad Ettunsi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073828893 PECOS PAC ID: 4688805906 Enrollment ID: I20140328001457 |
Provider Name | Bethany A Rich |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518348218 PECOS PAC ID: 6507176914 Enrollment ID: I20151113000887 |
Provider Name | Sarim P Poirier |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285133470 PECOS PAC ID: 7113263476 Enrollment ID: I20190108003076 |
Provider Name | Tatiana Arilha Thom |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629205828 PECOS PAC ID: 5799940979 Enrollment ID: I20190625001075 |
Provider Name | Mary Frances Traynor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881254985 PECOS PAC ID: 5890127906 Enrollment ID: I20191111002956 |
Provider Name | Laura Anne Meehan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891496386 PECOS PAC ID: 2466800271 Enrollment ID: I20231204002636 |
Provider Name | Katelyn Maria Mercado |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346948379 PECOS PAC ID: 4183063563 Enrollment ID: I20240418000285 |
Rite Aid Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Church St, Lowell, MA 01852 Phone: 978-937-0030 | |
Radiant Minds Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 George St Ste 203, Lowell, MA 01852 Phone: 978-216-0381 | |
Peter S. Bradshaw M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 E Merrimack St, Suite 15, Lowell, MA 01852 Phone: 978-459-3341 Fax: 978-459-5344 | |
Lgh Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-788-7218 Fax: 978-937-6850 | |
Andrew M. Romanowsky Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33 Bartlett St Ste 206, Lowell, MA 01852 Phone: 978-458-1293 Fax: 978-458-6953 | |
Mass Medical Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Central St, Suite #2, Lowell, MA 01852 Phone: 978-446-7982 Fax: 866-897-3951 |