| Benjamin Fakharzadeh, MM | |
|
242 Green St, Gardner, MA 01440-1336 | |
| (978) 630-6235 | |
| Not Available |
| Full Name | Benjamin Fakharzadeh |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 16 Years |
| Location | 242 Green St, Gardner, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689801391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 241602 (Massachusetts) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 273798 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heywood Hospital - | Gardner, MA | Hospital |
| Cooley Dickinson Hospital Inc,the | Northampton, MA | Hospital |
| Baystate Franklin Medical Center | Greenfield, MA | Hospital |
| Baystate Medical Center | Springfield, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New England Medical Imaging, Pc | 0941608392 | 3 |
| Henry Heywood Memorial Hospital | 1658262605 | 85 |
| Entity Name | Henry Heywood Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205823879 PECOS PAC ID: 1658262605 Enrollment ID: O20040322000360 |
| Entity Name | L & M Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699721985 PECOS PAC ID: 6305819228 Enrollment ID: O20040818000208 |
| Entity Name | Athol Memorial Hospital Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336120047 PECOS PAC ID: 7911959846 Enrollment ID: O20050218000228 |
| Entity Name | Wachusett Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528090131 PECOS PAC ID: 4183656713 Enrollment ID: O20050906000092 |
| Entity Name | New England Medical Imaging, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306514310 PECOS PAC ID: 0941608392 Enrollment ID: O20211015000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Fakharzadeh, MM 2527 Cranberry Hwy, Wareham, MA 02571-1046 Ph: (800) 841-5200 | Benjamin Fakharzadeh, MM 242 Green St, Gardner, MA 01440-1336 Ph: (978) 630-6235 |
Dr. Daniel Berman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Dept. Of Radiology, Heywood Hospital, 242 Green St, Gardner, MA 01440 Phone: 978-632-3420 | |
Laura M Chen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 242 Green St, Gardner, MA 01440 Phone: 978-630-6235 Fax: 978-630-6353 | |
Edward F. Hurwitz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 242 Green St, Gardner, MA 01440 Phone: 978-630-6235 Fax: 978-630-6353 |