| Nantucket Cottage Medical Group | |
|
57 Prospect St Nantucket MA 02554-2799 | |
| (508) 825-8100 | |
| Not Available |
| Full Name | Nantucket Cottage Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 57 Prospect St, Nantucket, Massachusetts |
| Authorized Official Name and Position | Nancy Sue Pittman (DIRECTOR OF CONTRACTING/COMPLIANCE) |
| Authorized Official Contact | 5088258203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nantucket Cottage Medical Group 57 Prospect St Nantucket MA 02554-2799 Ph: (508) 825-8100 | Nantucket Cottage Medical Group 57 Prospect St Nantucket MA 02554-2799 Ph: (508) 825-8100 |
| NPI Number | 1477021608 |
|---|---|
| Provider Enumeration Date | 11/06/2018 |
| Last Update Date | 06/01/2020 |
| Medicare PECOS PAC ID | 1759357601 |
|---|---|
| Medicare Enrollment ID | O20190301001989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477021608 | NPI | - | NPPES |
| 110026734D | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Nantucket Physicians Organization Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 57 Prospect St, Room 101, Nantucket, MA 02554 Phone: 508-776-7428 Fax: 508-693-5942 |