| Dr Mark David Canning, MD | |
|
55 Fogg Rd, South Weymouth, MA 02190-2432 | |
| (781) 340-8000 | |
| Not Available |
| Full Name | Dr Mark David Canning |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 33 Years |
| Location | 55 Fogg Rd, South 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 |
|---|---|---|---|
| 1932162104 | NPI | - | NPPES |
| J17824 | Other | MA | BLUE SHIELD |
| 273479 | Other | MA | HARVARD PILGRIM |
| 37767 | Other | MA | FALLON |
| 3168123 | Medicaid | MA | |
| 3168123 | Other | MA | HEALTHY START |
| 767488 | Other | MA | TUFTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 15177 (Massachusetts) | Primary |
| 207LP2900X | Anesthesiology - Pain Medicine | 15177 (Massachusetts) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Shore Hospital | South weymouth, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Medical Associates | 7113029257 | 412 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark David Canning, MD 163 Libbey Pkwy, Suite 301, Weymouth, MA 02189-3101 Ph: (781) 337-4224 | Dr Mark David Canning, MD 55 Fogg Rd, South Weymouth, MA 02190-2432 Ph: (781) 340-8000 |
Richard Scott Bello, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-340-8000 | |
Dr. Elizabeth A. Eldredge, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-340-8000 | |
Clifford Mark Breslow, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-340-8000 | |
Dr. Ganesh Thippeswamy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-624-9000 | |
Danielle Binler, M.D., M.S. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-624-8000 |