| Pleasant Lake Medical Center Llc | |
|
253 Pleasant Lake Ave Ste 100 Harwich MA 02645-2540 | |
| (617) 785-2066 | |
| Not Available |
| Full Name | Pleasant Lake Medical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 253 Pleasant Lake Ave Ste 100, Harwich, Massachusetts |
| Authorized Official Name and Position | Qiang Nai (PRESIDENT) |
| Authorized Official Contact | 6177852066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pleasant Lake Medical Center Llc 253 Pleasant Lake Ave Ste 100 Harwich MA 02645-2540 Ph: (508) 274-4991 | Pleasant Lake Medical Center Llc 253 Pleasant Lake Ave Ste 100 Harwich MA 02645-2540 Ph: (617) 785-2066 |
| NPI Number | 1831879501 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 07/29/2024 |
| Medicare PECOS PAC ID | 1951741057 |
|---|---|
| Medicare Enrollment ID | O20240506001497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831879501 | NPI | - | NPPES |
| Provider Name | Elisabeth Fuller Haskell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366525545 PECOS PAC ID: 2264322981 Enrollment ID: I20040317000654 |
| Provider Name | James White Shepherd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003823295 PECOS PAC ID: 5193858587 Enrollment ID: I20100805000695 |
| Provider Name | Diane S Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902871262 PECOS PAC ID: 5597706481 Enrollment ID: I20120613000110 |
| Provider Name | Qiang Nai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194105312 PECOS PAC ID: 6608164629 Enrollment ID: I20240506003212 |
Robert Malin Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 253 Pleasant Lake Ave, Harwich, MA 02645 Phone: 774-323-7970 | |
Pleasant Lake Medical Offices Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 253 Pleasant Lake Ave, Harwich, MA 02645 Phone: 508-432-5233 Fax: 508-430-0511 | |
Oceanside Health Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Clearwater Dr, Harwich, MA 02645 Phone: 774-237-9116 Fax: 774-237-3411 | |
Harwich Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1421 Orleans Rd, Harwich, MA 02645 Phone: 508-430-1220 Fax: 508-430-5029 |