| Dr Diana Immenhausen, DO | |
|
255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | |
| (413) 245-3389 | |
| Not Available |
| Full Name | Dr Diana Immenhausen |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 255 E Old Sturbridge Rd, Brimfield, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821331604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 295025 (Massachusetts) | Primary |
| 207Q00000X | Family Medicine | 283013 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elara Caring | Newton, MA | Home health agency |
| Overlook Visiting Nurse Association Inc | Charlton, MA | Home health agency |
| Gvna Healthcare Inc | Gardner, MA | Home health agency |
| Harrington Memorial Hospital-1 | Southbridge, MA | Hospital |
| Umass Memorial Medical Center/university Campus | Worcester, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Umass Memorial Medical Group Inc | 4284539891 | 2096 |
| Entity Name | Umass Memorial Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Diana Immenhausen, DO Po Box 40, Southbridge, MA 01550-0040 Ph: () - | Dr Diana Immenhausen, DO 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 Ph: (413) 245-3389 |
Yasir Saleem, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 E Old Sturbridge Rd, Brimfield, MA 01010 Phone: 413-245-3389 Fax: 413-245-4553 | |
Katarzyna Pomianowski, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 255 E Old Sturbridge Rd, Brimfield, MA 01010 Phone: 413-245-3389 Fax: 413-245-4553 |