| Dr Loretta Y Chou, MD | |
|
161 Jackson St, Lowell, MA 01852-2103 | |
| (978) 937-9700 | |
| (978) 221-6728 |
| Full Name | Dr Loretta Y Chou |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 161 Jackson St, Lowell, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639169709 | NPI | - | NPPES |
| 3113124 | Medicaid | NH | |
| 0166081 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 18720 (New Hampshire) | Secondary |
| 208000000X | Pediatrics | 159489 (Massachusetts) | Primary |
| Entity Name | Lowell Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952307530 PECOS PAC ID: 6204807944 Enrollment ID: O20040804001749 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Loretta Y Chou, MD C/o St Mary's Health System - Provider Enrollment, Po Box 7291, Lewiston, ME 04243-7291 Ph: (077) 778-6952 | Dr Loretta Y Chou, MD 161 Jackson St, Lowell, MA 01852-2103 Ph: (978) 937-9700 |
Daniel W Dubner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 33 Bartlett St, Lowell, MA 01852 Phone: 978-452-2200 | |
Dr. Suparna Sharma, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-937-6000 | |
Wesley Dean, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 161 Jackson St, Lowell, MA 01852 Phone: 978-937-9700 | |
Mr. Stephen A Conway, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 33 Bartlett St, Suite 305, Lowell, MA 01852 Phone: 978-452-2200 Fax: 978-441-2651 | |
Cathleen Bonacci, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 597 Merrimack St, Lowell Community Health Center, Lowell, MA 01854 Phone: 978-937-9700 Fax: 978-446-9830 | |
Purnima Baranwal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 275 Varnum Ave Ste 204, Lowell, MA 01854 Phone: 978-452-1666 Fax: 978-452-1780 | |
Dr. Kristen A Klemmer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-937-6000 |