| Dr Keith T Tracy, MD | |
|
780 Main St, S Weymouth, MA 02190-1622 | |
| (781) 331-4600 | |
| (781) 337-5095 |
| Full Name | Dr Keith T Tracy |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 25 Years |
| Location | 780 Main St, S Weymouth, 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 |
|---|---|---|---|
| 1477511871 | NPI | - | NPPES |
| 2119561 | Medicaid | MA | |
| AA62481 | Other | MA | HARVARD PILGRIM |
| 494983 | Other | MA | TUFTS HEALTH PLAN |
| 1238590 | Other | MA | AETNA |
| J40295 | Other | MA | BLUE SHIELD |
| 116191 | Other | MA | FALLON |
| 1847716 | Other | MA | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 227369 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Shore Hospital | South weymouth, MA | Hospital |
| Beth Israel Deaconess Hospital Plymouth | Plymouth, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Shore Medical Center, Inc. | 3678487444 | 160 |
| Coastal Medical Associates | 7113029257 | 412 |
| Entity Name | South Shore Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669411856 PECOS PAC ID: 3678487444 Enrollment ID: O20040413000332 |
| Entity Name | Coastal Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932175684 PECOS PAC ID: 7113029257 Enrollment ID: O20070221000057 |
| 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: O20101119000007 |
| 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 Keith T Tracy, MD 780 Main St, S Weymouth, MA 02190-1622 Ph: (781) 331-4600 | Dr Keith T Tracy, MD 780 Main St, S Weymouth, MA 02190-1622 Ph: (781) 331-4600 |