| Primary Physician Partners | |
|
123 Summer St Suite 385n Worcester MA 01608-1216 | |
| (508) 363-7300 | |
| (508) 363-9688 |
| Full Name | Primary Physician Partners |
|---|---|
| Speciality | Internal Medicine |
| Location | 123 Summer St, Worcester, Massachusetts |
| Authorized Official Name and Position | Kelly Ann Wilson (BILLING MANAGER) |
| Authorized Official Contact | 5083637707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Physician Partners Po Box 2793 Worcester MA 01613-2793 Ph: (508) 363-7300 | Primary Physician Partners 123 Summer St Suite 385n Worcester MA 01608-1216 Ph: (508) 363-7300 |
| NPI Number | 1518971860 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 03/22/2017 |
| Medicare PECOS PAC ID | 4688560469 |
|---|---|
| Medicare Enrollment ID | O20040227000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518971860 | NPI | - | NPPES |
| 3101347 | Medicaid | MA | |
| 41834 | Other | NETWORK | |
| 691558 | Other | TUFTS | |
| M18243 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (Massachusetts) | Secondary |
| Provider Name | Prathibha Ranganna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871701060 PECOS PAC ID: 4082708581 Enrollment ID: I20070914000089 |
| Provider Name | Todd C Malvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811093198 PECOS PAC ID: 9335218338 Enrollment ID: I20080516000355 |
| Provider Name | Magdalena Boelsterl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831359819 PECOS PAC ID: 5496918021 Enrollment ID: I20120518000238 |
| Provider Name | Ramakrishna Thippanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760611321 PECOS PAC ID: 2163672601 Enrollment ID: I20121018000714 |
Jain Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Winthrop St, Worcester, MA 01604 Phone: 508-799-4100 Fax: 508-799-2388 | |
Neh Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 Pleasant St, Worcester, MA 01609 Phone: 508-735-3280 | |
Worcester Internal Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 416 Belmont St, Worcester, MA 01604 Phone: 508-756-1808 Fax: 508-798-0538 | |
Anthony Distefano, Jr Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 562 Lincoln St, Worcester, MA 01605 Phone: 508-852-6028 Fax: 508-721-7821 | |
Joseph J. Savitt, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Lincoln St, Worcester, MA 01605 Phone: 508-755-1222 Fax: 508-754-9479 | |
Demos Agiomavritis Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 385 Grove St, Suite 120, Worcester, MA 01605 Phone: 508-770-8002 Fax: 508-770-8006 | |
Community Health Link Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Jacques Ave, Worcester, MA 01610 Phone: 508-860-1247 |