| Dr Emilie A Tack, DO | |
|
830 Oak St Ste 124e, Brockton, MA 02301-1192 | |
| (508) 897-4730 | |
| Not Available |
| Full Name | Dr Emilie A Tack |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 18 Years |
| Location | 830 Oak St Ste 124e, Brockton, 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 |
|---|---|---|---|
| 1235312448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 5101017260 (Michigan) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 246375 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Steward Medical Group Inc | 2860688728 | 602 |
| Bmc Affiliated Physicians, Inc. | 9830133123 | 376 |
| Entity Name | Atrius Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871639914 PECOS PAC ID: 4789588641 Enrollment ID: O20031121000582 |
| Entity Name | Mass General Brigham Medical Group Suburban Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538191218 PECOS PAC ID: 0244133494 Enrollment ID: O20040127001012 |
| Entity Name | Bmc Affiliated Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245320910 PECOS PAC ID: 9830133123 Enrollment ID: O20050617000054 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Emilie A Tack, DO 960 Massachusetts Ave Ste 2, Boston, MA 02118-2690 Ph: (617) 414-4505 | Dr Emilie A Tack, DO 830 Oak St Ste 124e, Brockton, MA 02301-1192 Ph: (508) 897-4730 |
Zwi Hoch, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1 Pearl St, Suite 2500, Brockton, MA 02301 Phone: 508-897-6111 Fax: 508-897-6115 | |
Alvin To, Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7379 | |
Dr. Gregory Wei Chiang Woo, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000 Fax: 508-941-6480 | |
Brooke J Bloom, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 650 Centre St, Brockton, MA 02302 Phone: 508-697-8666 | |
Juan P Richiusa, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7379 Fax: 508-941-6330 | |
Dr. Shenbagavalli Ramaswami, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 830 Oak St, Brockton, MA 02301 Phone: 781-585-9522 Fax: 781-585-9544 |