| Mass General Brigham Community Physicians Inc. | |
|
80 Beharrell St Concord MA 01742-1739 | |
| (781) 259-9292 | |
| (781) 259-0747 |
| Full Name | Mass General Brigham Community Physicians Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 80 Beharrell St, Concord, Massachusetts |
| Authorized Official Name and Position | David Connolly (CFO, SVP OF ADMIN & TREASURER) |
| Authorized Official Contact | 8572822028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mass General Brigham Community Physicians Inc. 399 Revolution Dr Ste 1010 Somerville MA 02145-1582 Ph: (857) 282-2063 | Mass General Brigham Community Physicians Inc. 80 Beharrell St Concord MA 01742-1739 Ph: (781) 259-9292 |
| NPI Number | 1174545875 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 07/31/2023 |
| Medicare PECOS PAC ID | 1759273436 |
|---|---|
| Medicare Enrollment ID | O20081008000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174545875 | NPI | - | NPPES |
| 9777563 | Medicaid | MA |
| Provider Name | Betty A Pomerleau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811972821 PECOS PAC ID: 0840266490 Enrollment ID: I20040907000202 |
| Provider Name | Peter A Hoenig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801855531 PECOS PAC ID: 8820035736 Enrollment ID: I20050412001327 |
| Provider Name | Pamela S Deluca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710946462 PECOS PAC ID: 3476595935 Enrollment ID: I20050525000063 |
| Provider Name | Amy E Forrer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760416424 PECOS PAC ID: 2365446929 Enrollment ID: I20060913000196 |
| Provider Name | Burak H Alsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669508073 PECOS PAC ID: 2466592282 Enrollment ID: I20091229000358 |
| Provider Name | Meenakshi Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497992192 PECOS PAC ID: 3779776885 Enrollment ID: I20101021000766 |
| Provider Name | Christine Beck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841517745 PECOS PAC ID: 1355521410 Enrollment ID: I20110207000198 |
| Provider Name | Marguerit C Roach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124087853 PECOS PAC ID: 7618993809 Enrollment ID: I20111216000630 |
| Provider Name | Lynn B Weigel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386603884 PECOS PAC ID: 2466627658 Enrollment ID: I20111216000649 |
| Provider Name | Benista Owusu Amo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710249834 PECOS PAC ID: 4789989815 Enrollment ID: I20160226000924 |
| Provider Name | Kayla M Ditommaso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871031427 PECOS PAC ID: 9931460417 Enrollment ID: I20180224000103 |
| Provider Name | Laura A Ting |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669835591 PECOS PAC ID: 5294029179 Enrollment ID: I20201117000160 |
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