| Dr Guillermo Alfredo Walters, MD | |
|
60 Hospital Rd, Leominster, MA 01453-2205 | |
| (978) 466-2714 | |
| (978) 466-2746 |
| Full Name | Dr Guillermo Alfredo Walters |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 37 Years |
| Location | 60 Hospital Rd, Leominster, 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 |
|---|---|---|---|
| 1558351494 | NPI | - | NPPES |
| 110054088A | Medicaid | MA | |
| 3121194 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 74668 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Healthalliance Hospitals, Inc | Leominster, MA | Hospital |
| Harrington Memorial Hospital-1 | Southbridge, MA | Hospital |
| Umass Memorial Medical Center/university Campus | Worcester, MA | Hospital |
| Umass Memorial Healthcare-marlborough Hospital | Marlborough, 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 |
| Entity Name | Umass Memorial Radiology Phys Serv |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639122096 PECOS PAC ID: 6800868779 Enrollment ID: O20040811000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Guillermo Alfredo Walters, MD Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Dr Guillermo Alfredo Walters, MD 60 Hospital Rd, Leominster, MA 01453-2205 Ph: (978) 466-2714 |
Patricia A Cross, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 Hospital Rd, Leominster, MA 01453 Phone: 978-466-2682 | |
Michael G Popik, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 60 Hospital Rd, Radiology Department, Leominster, MA 01453 Phone: 978-466-2685 Fax: 978-466-2685 |