| Dr Daniel Leroy Bohl, MD | |
|
76 Campanelli Industrial Dr, Brockton, MA 02301-1809 | |
| (508) 930-3062 | |
| (508) 587-0287 |
| Full Name | Dr Daniel Leroy Bohl |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 25 Years |
| Location | 76 Campanelli Industrial Dr, Brockton, 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 |
|---|---|---|---|
| 1477579795 | NPI | - | NPPES |
| 202912 | Other | MO-BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 200202484 (Missouri) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 235028 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Taunton Regional Dialysis Center | Taunton, MA | Dialysis facility |
| Brockton Regional Kidney Center | Brockton, MA | Dialysis facility |
| Brockton Dialysis Center, Llc | Brockton, MA | Dialysis facility |
| Signature Healthcare Brockton Hospital | Brockton, MA | Hospital |
| Morton Hospital | Taunton, MA | Hospital |
| Good Samaritan Medical Center | Brockton, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Signature Healthcare Medical Group Inc | 7719876267 | 207 |
| Associates In Nephrology, Pc | 8921172958 | 2 |
| Entity Name | Signature Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372 |
| Entity Name | Associates In Nephrology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154372142 PECOS PAC ID: 8921172958 Enrollment ID: O20080808000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel Leroy Bohl, MD 76 Campanelli Industrial Dr, Brockton, MA 02301-1809 Ph: (508) 930-3062 | Dr Daniel Leroy Bohl, MD 76 Campanelli Industrial Dr, Brockton, MA 02301-1809 Ph: (508) 930-3062 |
Louis D. Gottlieb, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 680 Centre St, Managed Care, Brockton, MA 02302 Phone: 508-941-7065 Fax: 508-941-6373 | |
Gloria Ibarra, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-559-5073 | |
Elsie Varughese, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-583-4649 | |
Jane G Butlin, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1 Pearl St, Suite 2200, Brockton, MA 02301 Phone: 508-897-6051 Fax: 508-897-6096 | |
Jacob Mandell, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton Hospital, Brockton, MA 02302 Phone: 508-941-7150 | |
Renu B Prakash, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 617-789-3000 | |
Jolly Abeskheron, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1 Pearl St, Suite 1000, Brockton, MA 02301 Phone: 508-897-6060 Fax: 508-897-6063 |