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 |