| Southcoast - Tufts Health Plan | |
|
200 Mill Rd Ste 180, Fairhaven, MA 02719-5255 | |
| (508) 973-2000 | |
| (508) 973-2001 |
| Full Name | Southcoast - Tufts Health Plan |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 200 Mill Rd Ste 180, Fairhaven, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750869681 | NPI | - | NPPES |
| CD2506 | Other | MA | RAILROAD MEDICARE |
| 110072422A | Medicaid | MA | |
| BM20689 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Southcoast - Tufts Health Plan 200 Mill Rd Ste 180, Fairhaven, MA 02719-5255 Ph: (508) 973-2000 | Southcoast - Tufts Health Plan 200 Mill Rd Ste 180, Fairhaven, MA 02719-5255 Ph: (508) 973-2000 |
Ms. Sheril Silva, MS CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 389 Alden Rd, Fairhaven, MA 02719 Phone: 508-991-8600 | |
Jennifer Brengle, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2 Brook Dr, Fairhaven, MA 02719 Phone: 508-525-0214 |