| Dr Mark P Dematteo, MD | |
|
111 Grossman Dr, Braintree, MA 02184-4997 | |
| (781) 849-1000 | |
| Not Available |
| Full Name | Dr Mark P Dematteo |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | 111 Grossman Dr, Braintree, 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 |
|---|---|---|---|
| 1922044015 | NPI | - | NPPES |
| 766710 | Other | MA | TUFTS |
| 3158250 | Medicaid | MA | |
| 930100100 | Other | MA | RAILROAD MEDICARE |
| J17389 | Other | MA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 150129 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beth Israel Deaconess Hospital Plymouth | Plymouth, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atrius Health Inc | 4789588641 | 1158 |
| Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is | 6305749987 | 495 |
| 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 | Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952358533 PECOS PAC ID: 6305749987 Enrollment ID: O20040130000354 |
| Entity Name | Urgi Center Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902146798 PECOS PAC ID: 3476790601 Enrollment ID: O20130508000075 |
| Entity Name | Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952358533 PECOS PAC ID: 6305749987 Enrollment ID: O20130606000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark P Dematteo, MD 111 Grossman Dr, Braintree, MA 02184-4997 Ph: (781) 849-1000 | Dr Mark P Dematteo, MD 111 Grossman Dr, Braintree, MA 02184-4997 Ph: (781) 849-1000 |
David J Petillo, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Grossman Dr, Braintree, MA 02184 Phone: 781-849-1000 | |
Lindsey Christine Burghardt, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 340 Wood Rd, Suite 310, Braintree, MA 02184 Phone: 781-356-6200 |