| Dan S Tilles, MD | |
|
86 Baker Ave Extension, Concord, MA 01742-2125 | |
| (978) 287-9300 | |
| (978) 287-9357 |
| Full Name | Dan S Tilles |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 86 Baker Ave Extension, Concord, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912964321 | NPI | - | NPPES |
| 0172723 | Medicaid | MA | |
| J07305 | Other | MA | BLUE CROSS |
| 65067 | Other | MA | HARVARD PILGRIM |
| 006170 | Other | MA | NEIGHBORHOOD HEALTH |
| 4109369 | Other | MA | AETNA |
| 715989 | Other | MA | TUFTS |
| B10208102 | Other | MA | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 45946 (Massachusetts) | Primary |
| Entity Name | Emerson Practice Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508020199 PECOS PAC ID: 8123188117 Enrollment ID: O20081120000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Dan S Tilles, MD 147 Milk St, Provider Enrollment - 9th Floor, Boston, MA 02109-4806 Ph: (617) 559-8374 | Dan S Tilles, MD 86 Baker Ave Extension, Concord, MA 01742-2125 Ph: (978) 287-9300 |
Dr. William Judson Burtis, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 747 Main St, Suite 123, Concord, MA 01742 Phone: 978-287-9590 Fax: 978-287-5700 | |
Dr. Paul David D'ambrosio, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2284 Main St, Concord, MA 01742 Phone: 978-369-5575 Fax: 978-371-9189 | |
Richard P Schwartz, MD PC Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 131 Ornac Ste 510, John Cuming Building, Concord, MA 01742 Phone: 978-776-6186 Fax: 978-776-6189 | |
Thomas Lamattina, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 131 Ornac, Concord, MA 01742 Phone: 978-371-0796 | |
Dr. Peter Scott Benjamin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 Ornac, Concord, MA 01742 Phone: 978-287-3627 | |
Stephen M Dyda, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 131 Ornac, Concord, MA 01742 Phone: 978-287-8767 | |
Martha W Gilpatrick, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 140 Revolutionary Rd, Concord, MA 01742 Phone: 781-724-9086 |