| Dr Peter J Lydon, MD | |
|
211 Park St, Attleboro, MA 02703-3143 | |
| (508) 222-5200 | |
| Not Available |
| Full Name | Dr Peter J Lydon |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 211 Park St, Attleboro, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801874532 | NPI | - | NPPES |
| 6178936 | Medicaid | MA | |
| 8081330 | Other | MA | AETNA US HEALTHCARE |
| M19130 | Other | MA | BLUE CROSS & BLUE SHIELD |
| 705041 | Other | MA | TUFTS HEALTH PLAN |
| 1702006 | Other | MA | UNITEDHEALTHCARE |
| 8613PCL | Other | MA | HARVARD PILGRIM HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 52243 (Massachusetts) | Primary |
| Entity Name | Bmc Affiliated Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245320910 PECOS PAC ID: 9830133123 Enrollment ID: O20050617000054 |
| 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 Peter J Lydon, MD 35 United Dr Ste 102, West Bridgewater, MA 02379-1056 Ph: (508) 238-8646 | Dr Peter J Lydon, MD 211 Park St, Attleboro, MA 02703-3143 Ph: (508) 222-5200 |
Kenkre G Mahesh, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 120 N Main St, Suite 201, Attleboro, MA 02703 Phone: 508-222-8444 Fax: 508-226-3713 | |
Richard C Statman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 28 Sturdy St, Attleboro, MA 02703 Phone: 508-226-7788 |