| Dr Mary D Gibney, MD | |
|
198 Massachusetts Ave Ste 105, North Andover, MA 01845-4143 | |
| (978) 691-5690 | |
| (978) 691-5693 |
| Full Name | Dr Mary D Gibney |
|---|---|
| Gender | Female |
| Speciality | Dermatology - Procedural Dermatology |
| Location | 198 Massachusetts Ave Ste 105, North Andover, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801885918 | NPI | - | NPPES |
| 3152243 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207NS0135X | Dermatology - Procedural Dermatology | 150484 (Massachusetts) | Primary |
| Entity Name | Northeast Dermatology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508061839 PECOS PAC ID: 3072403799 Enrollment ID: O20060105000473 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary D Gibney, MD 280 Merrimack St Ste 311, Lawrence, MA 01843-1779 Ph: (978) 691-5690 | Dr Mary D Gibney, MD 198 Massachusetts Ave Ste 105, North Andover, MA 01845-4143 Ph: (978) 691-5690 |
Dr. Skylar Amanda Souyoul, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 538 Turnpike St, North Andover, MA 01845 Phone: 978-691-5690 Fax: 978-225-7837 | |
Dr. Owen David Reynolds, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 198 Massachusetts Ave Ste 105, North Andover, MA 01845 Phone: 978-691-5690 Fax: 978-691-5693 | |
Michelle Kim Kerrigan, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 198 Massachusetts Ave, North Andover, MA 01845 Phone: 978-691-5690 | |
Dr. Jeremy P Finkle, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 538 Turnpike St, North Andover, MA 01845 Phone: 978-683-9201 Fax: 978-686-2770 | |
Megan L Bernstein, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 401 Andover Street, Suite 101, Northeast Dermatology Associates, North Andover, MA 01845 Phone: 978-691-5690 Fax: 978-691-5693 | |
Dr. David Goldminz, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 538 Turnpike St, North Andover, MA 01845 Phone: 978-683-9201 Fax: 978-686-2770 |