| Diane Lockhart, MD | |
|
24 Newton St, Southborough, MA 01772-1215 | |
| (508) 486-4472 | |
| (508) 486-4474 |
| Full Name | Diane Lockhart |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 24 Newton St, Southborough, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407917412 | NPI | - | NPPES |
| 0021544 | Other | MA | NHP |
| 792099 | Other | MA | TUFTS |
| 1226445-004 | Other | MA | CIGNA |
| J17041 | Other | MA | BCBS |
| S2 | Other | MA | HPHC |
| 3191800 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 151434 (Massachusetts) | Primary |
| Entity Name | Reliant Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650 |
| Entity Name | Saint Vincent Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013997329 PECOS PAC ID: 8921056276 Enrollment ID: O20050104000566 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Lockhart, MD 24 Newton St, Southborough, MA 01772-1215 Ph: (508) 486-4472 | Diane Lockhart, MD 24 Newton St, Southborough, MA 01772-1215 Ph: (508) 486-4472 |
Umer Sayeed Shah, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Parkcentral Drive Suite 210, Avc / Acc, Southborough, MA 01772 Phone: 508-481-8346 Fax: 508-481-8340 | |
Dr. Elliot Lach, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 Turnpike Rd, Southborough, MA 01772 Phone: 508-481-0300 |