| |
11 Cascade Ave Lowell MA 01851-1613 | |
(978) 987-1170 | |
Not Available |
Full Name | |
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Speciality | Assisted Living Facility |
Location | 11 Cascade Ave, Lowell, Massachusetts |
Authorized Official Name and Position | Susan Jamieson (NP) |
Authorized Official Contact | 8572251868 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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11 Cascade Ave Lowell MA 01851-1613 Ph: (978) 987-1170 | 11 Cascade Ave Lowell MA 01851-1613 Ph: (978) 987-1170 |
NPI Number | 1003674854 |
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Provider Enumeration Date | 03/07/2024 |
Last Update Date | 11/18/2024 |
Medicare PECOS PAC ID | 7012443450 |
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Medicare Enrollment ID | O20241210000500 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003674854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
310400000X | Assisted Living Facility | (* (Not Available)) | Primary |
Provider Name | Susan A Jamieson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245306448 PECOS PAC ID: 8426078940 Enrollment ID: I20051129000960 |
Provider Name | Kayla Cantres |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265212476 PECOS PAC ID: 9739532896 Enrollment ID: I20240125001938 |
Igc Iii Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41 Wellman St Ste 400, Lowell, MA 01851 Phone: 978-459-6737 Fax: 855-818-1869 | |
Mill City Medical Group Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 45 Palmer Street, Lowell, MA 01852 Phone: 978-970-1607 Fax: 978-970-1115 | |
Rite Aid Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Church St, Lowell, MA 01852 Phone: 978-937-0030 | |
Peter S. Bradshaw M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 E Merrimack St, Suite 15, Lowell, MA 01852 Phone: 978-459-3341 Fax: 978-459-5344 |