| Tristan Medical Enterprises Pc | |
|
465 S Washington St North Attleboro MA 02760-2159 | |
| (508) 316-0725 | |
| (508) 316-3060 |
| Full Name | Tristan Medical Enterprises Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 465 S Washington St, North Attleboro, Massachusetts |
| Authorized Official Name and Position | Ryan Welter (OWNER) |
| Authorized Official Contact | 5083160725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tristan Medical Enterprises Pc 465 S Washington St North Attleboro MA 02760-2159 Ph: (508) 316-0725 | Tristan Medical Enterprises Pc 465 S Washington St North Attleboro MA 02760-2159 Ph: (508) 316-0725 |
| NPI Number | 1538398326 |
|---|---|
| Provider Enumeration Date | 07/14/2009 |
| Last Update Date | 03/25/2021 |
| Medicare PECOS PAC ID | 1153503297 |
|---|---|
| Medicare Enrollment ID | O20110310000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538398326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Massachusetts) | Primary |
| Provider Name | John A Breda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508835653 PECOS PAC ID: 9436148418 Enrollment ID: I20040506001322 |
| Provider Name | Modar Sukkarieh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124328430 PECOS PAC ID: 9931359403 Enrollment ID: I20150106000331 |
| Provider Name | Gurmander S Kohli |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225066962 PECOS PAC ID: 7113934886 Enrollment ID: I20150806011735 |
| Provider Name | Janel Carello-michl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497066385 PECOS PAC ID: 3173845864 Enrollment ID: I20151019000732 |
| Provider Name | Mitchell Pozner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851427116 PECOS PAC ID: 1850695719 Enrollment ID: I20160212001634 |
| Provider Name | Derek Lee |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1174961262 PECOS PAC ID: 3274814991 Enrollment ID: I20170111001027 |
| Provider Name | Elizabeth Ann Gaulin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891334496 PECOS PAC ID: 1658708730 Enrollment ID: I20200302001988 |
| Provider Name | Aliya Joy Rosenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932857083 PECOS PAC ID: 4183002736 Enrollment ID: I20220609002377 |
| Provider Name | Kaylee Wampler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265092696 PECOS PAC ID: 3375918568 Enrollment ID: I20230330002386 |
| Provider Name | Leeann Orluk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942956057 PECOS PAC ID: 2860838398 Enrollment ID: I20240307000289 |
Tristan Medical Enterprises Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 465 S Washington St, North Attleboro, MA 02760 Phone: 508-316-0725 Fax: 508-316-3060 | |
Nully Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Sheldonville Rd, North Attleboro, MA 02760 Phone: 401-219-9525 Fax: 435-355-3740 | |
North Attleboro Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Cumberland Ave, North Attleboro, MA 02760 Phone: 781-255-0500 | |
Tellinmedicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 Elm Street, Suite 1, North Attleboro, MA 02760 Phone: 508-682-1686 |