| Webster Square Medical Center, Inc | |
|
255 Park Ave Suite 400 Worcester MA 01609-1953 | |
| (508) 755-9776 | |
| (508) 793-0715 |
| Full Name | Webster Square Medical Center, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 255 Park Ave, Worcester, Massachusetts |
| Authorized Official Name and Position | Walter Keaton Goljan (PRESIDENT) |
| Authorized Official Contact | 5087559776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Webster Square Medical Center, Inc 255 Park Ave Suite 400 Worcester MA 01609-1953 Ph: (508) 755-9776 | Webster Square Medical Center, Inc 255 Park Ave Suite 400 Worcester MA 01609-1953 Ph: (508) 755-9776 |
| NPI Number | 1619188281 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 02/21/2012 |
| Medicare PECOS PAC ID | 5395734693 |
|---|---|
| Medicare Enrollment ID | O20040511001123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619188281 | NPI | - | NPPES |
| 9768939 | Medicaid | MA | |
| Z096803 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 52685 (Massachusetts) | Primary |
| Provider Name | Walter K Goljan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619942679 PECOS PAC ID: 4284623588 Enrollment ID: I20050405001279 |
| Provider Name | Christine M Digregorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497892293 PECOS PAC ID: 0941238745 Enrollment ID: I20050802001115 |
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 |