| Pittsfield Medical Associates, Inc. | |
|
510 North St Pittsfield MA 01201-4111 | |
| (413) 499-2921 | |
| (413) 499-2762 |
| Full Name | Pittsfield Medical Associates, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 510 North St, Pittsfield, Massachusetts |
| Authorized Official Name and Position | Jean A Connolly (BOOKKEEPER) |
| Authorized Official Contact | 4134992921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pittsfield Medical Associates, Inc. 510 North St Pittsfield MA 01201-4111 Ph: (413) 499-2921 | Pittsfield Medical Associates, Inc. 510 North St Pittsfield MA 01201-4111 Ph: (413) 499-2921 |
| NPI Number | 1083766588 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 07/21/2015 |
| Medicare PECOS PAC ID | 8729121439 |
|---|---|
| Medicare Enrollment ID | O20100203000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083766588 | NPI | - | NPPES |
| 9712992 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ellis M Fribush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427137637 PECOS PAC ID: 4486625845 Enrollment ID: I20050614001078 |
| Provider Name | James R Gittzus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649359845 PECOS PAC ID: 1557307014 Enrollment ID: I20050706000657 |
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