| Nancy D. Berube, Md Pc | |
|
121 Lincoln St Worcester MA 01605-2429 | |
| (508) 756-0514 | |
| (508) 756-0843 |
| Full Name | Nancy D. Berube, Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 121 Lincoln St, Worcester, Massachusetts |
| Authorized Official Name and Position | Nancy D. Berube (PRESIDENT) |
| Authorized Official Contact | 5087560514 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy D. Berube, Md Pc 121 Lincoln St Worcester MA 01605-2429 Ph: (508) 756-0514 | Nancy D. Berube, Md Pc 121 Lincoln St Worcester MA 01605-2429 Ph: (508) 756-0514 |
| NPI Number | 1841309010 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9234392598 |
|---|---|
| Medicare Enrollment ID | O20120523000690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841309010 | NPI | - | NPPES |
| 9728210 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 57314 (Massachusetts) | Primary |
| Provider Name | Nancy D Berube |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538131867 PECOS PAC ID: 4587675327 Enrollment ID: I20060509000163 |
Jain Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Winthrop St, Worcester, MA 01604 Phone: 508-799-4100 Fax: 508-799-2388 | |
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