| Dr Gary Miller Proulx, MD | |
|
70 East St, Methuen, MA 01844-4597 | |
| (978) 687-0151 | |
| Not Available |
| Full Name | Dr Gary Miller Proulx |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 70 East St, Methuen, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194798165 | NPI | - | NPPES |
| P00362286 | Other | NY | RR MEDICARE PIN |
| CC9269 | Other | PA | RR MEDICARE GROUP |
| 0016314520003 | Medicaid | PA | |
| 01753942 | Medicaid | NY | |
| 920007329 | Other | PA | RR MEDICARE PIN |
| CC8362 | Other | NY | RR MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 206678-1 (New York) | Primary |
| 2085R0001X | Radiology - Radiation Oncology | MD419971 (Pennsylvania) | Secondary |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | Community Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144544040 PECOS PAC ID: 6002946928 Enrollment ID: O20100618000560 |
| 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 Gary Miller Proulx, MD 100 Metropolitan Park Dr Ste 100, Liverpool, NY 13088-7112 Ph: (315) 870-9370 | Dr Gary Miller Proulx, MD 70 East St, Methuen, MA 01844-4597 Ph: (978) 687-0151 |
Robert Schall, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 70 East St, Methuen, MA 01844 Phone: 978-982-3004 | |
Robert Hannon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 East St, Methuen, MA 01844 Phone: 978-682-3004 | |
Peter Cary, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 70 East St, Northern Radiology Associates, Methuen, MA 01844 Phone: 978-682-3004 | |
Daniel F Flynn, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 70 East St, Methuen, MA 01844 Phone: 978-683-9209 Fax: 978-687-4468 |