| Dr James L Demetroulakos, MD | |
|
104 Endicott St, Suite 100, Danvers, MA 01923-3623 | |
| (978) 745-6601 | |
| (978) 624-4040 |
| Full Name | Dr James L Demetroulakos |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 40 Years |
| Location | 104 Endicott St, Danvers, 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 |
|---|---|---|---|
| 1326011180 | NPI | - | NPPES |
| 1000021 | Other | MA | UNITED HEALTH NUMBER |
| 19486 | Other | MA | HARVARD PILGRIM |
| 2084343 | Other | MA | AETNA |
| 0012294 | Other | MA | NEIGHBORHOOD HEALTH NUMBE |
| 040006919 | Other | MA | RAILROAD MEDICARE NUMBER |
| 3129101 | Medicaid | MA | |
| 079502 | Other | MA | TUFTS NUMBER |
| 34544 | Other | MA | FALLON NUMBER |
| J30549 | Other | MA | BLUE SHIELD NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 79502 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeast Hospital Corporation | Beverly, MA | Hospital |
| Massachusetts General Hospital | Boston, MA | Hospital |
| North Shore Medical Center - | Salem, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atrius Health Inc | 4789588641 | 1158 |
| North Shore Ear, Nose And Throat Associates, Pc | 9032138367 | 18 |
| 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 Northern Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588606123 PECOS PAC ID: 3577467224 Enrollment ID: O20050429000668 |
| Entity Name | North Shore Ear, Nose & Throat Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619940780 PECOS PAC ID: 9032138367 Enrollment ID: O20051116000507 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James L Demetroulakos, MD 104 Endicott St, Suite 100, Danvers, MA 01923-3623 Ph: (781) 639-3055 | Dr James L Demetroulakos, MD 104 Endicott St, Suite 100, Danvers, MA 01923-3623 Ph: (978) 745-6601 |
Dr. Anna E. Petropoulos, M.D., F.R.C.S. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 80 Lindall St, Danvers, MA 01923 Phone: 978-739-9500 Fax: 978-739-9502 | |
Dr. Allen Lee Feng, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 Endicott St Ste 100, Danvers, MA 01923 Phone: 978-745-6601 | |
Jordan Glicksman, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 Endicott St Ste 100, Danvers, MA 01923 Phone: 978-745-6601 | |
Dr. Richard E Mugge, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 Endicott St, Suite 100, Danvers, MA 01923 Phone: 978-745-6601 Fax: 978-624-4040 | |
Dr. Philip Ryan Molarte Camilon, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 Endicott St Ste 100, Danvers, MA 01923 Phone: 978-745-6601 Fax: 978-744-4872 | |
William R Nicholas, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 127 Locust St, Danvers, MA 01923 Phone: 978-774-8886 |