| Dr Igor Stavitsky, MD | |
|
1 General St, Andrea Sullivan-director Of Managed Care Dept.., Lawrence, MA 01841-2961 | |
| (978) 683-4000 | |
| (978) 946-8017 |
| Full Name | Dr Igor Stavitsky |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 41 Years |
| Location | 1 General St, Lawrence, 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 |
|---|---|---|---|
| 1023094471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 77664 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elm Tree Clinic Llc | 7517203300 | 11 |
| Entity Name | Children's Hospital Pediatric Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
| Entity Name | Elm Tree Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538609904 PECOS PAC ID: 7517203300 Enrollment ID: O20190116000758 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Igor Stavitsky, MD 1 General St, Andrea Sullivan-director Of Managed Care Dept.., Lawrence, MA 01841-2961 Ph: (978) 683-4000 | Dr Igor Stavitsky, MD 1 General St, Andrea Sullivan-director Of Managed Care Dept.., Lawrence, MA 01841-2961 Ph: (978) 683-4000 |
Dr. Franklin D. Friedman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 General St, Anne Mottram- Administrative Secretary, Lawrence, MA 01841 Phone: 978-683-4000 Fax: 978-946-8026 | |
Anand Gopalan Nataraj, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 General St, Lawrence, MA 01841 Phone: 978-683-4000 | |
Dr. Mary Lynn Joe, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Merrimack St, Lawrence, MA 01843 Phone: 978-557-8800 Fax: 978-557-8633 | |
Dr. James L. Schaepe, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 General St, Andrea Sullivan-director Of Managed Care Dept., Lawrence, MA 01841 Phone: 978-683-4000 Fax: 978-946-8017 | |
Dr. John W. Lucas, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 General St, Andrea Sullivan-director Of Managed Care Dept., Lawrence, MA 01841 Phone: 978-683-4000 Fax: 978-946-8017 | |
Benjamin Bautz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 General St, Lawrence, MA 01841 Phone: 978-683-4000 |