| Northeast Medical Group | |
|
275 Varnum Ave Suite # 108 Lowell MA 01854-2141 | |
| (978) 710-4242 | |
| (978) 710-4202 |
| Full Name | Northeast Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 275 Varnum Ave, Lowell, Massachusetts |
| Authorized Official Name and Position | Sachin B Patel (PRESIDENT) |
| Authorized Official Contact | 9787104242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Medical Group 275 Varnum Avenue Suite # 108 Lowell MA 01854-2117 Ph: (978) 710-4242 | Northeast Medical Group 275 Varnum Ave Suite # 108 Lowell MA 01854-2141 Ph: (978) 710-4242 |
| NPI Number | 1578707162 |
|---|---|
| Provider Enumeration Date | 04/27/2009 |
| Last Update Date | 10/20/2011 |
| Medicare PECOS PAC ID | 9133278534 |
|---|---|
| Medicare Enrollment ID | O20090514000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578707162 | NPI | - | NPPES |
| 117524 | Other | MA | FALLON |
| 465583 | Other | MA | TUFTS & TUFTS MEDICARE PREFFERED |
| AA67427 | Other | MA | HARVARD PILGRIM HEALTH CARE |
| P00440617 | Other | RAIL ROAD MEDICARE | |
| 2123649 | Medicaid | MA | |
| 7667786 | Other | MA | ATENA |
| 1023466 | Other | MA | CIGNA & HEALTHSOURCE |
| J40434 | Other | MA | BLUECROSS-BLUESHIELD |
| 96037302 | Other | MA | NETWORK HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 228152 (Massachusetts) | Primary |
| Provider Name | Sachin B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538116991 PECOS PAC ID: 7517970478 Enrollment ID: I20060718000100 |
| Provider Name | Prarthana Kumari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831566215 PECOS PAC ID: 5597075275 Enrollment ID: I20151109002067 |
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