| Dr Shane O'neil, MD | |
|
62 Brown St Ste 304c, Haverhill, MA 01830-6790 | |
| (978) 691-5690 | |
| (978) 216-4618 |
| Full Name | Dr Shane O'neil |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 12 Years |
| Location | 62 Brown St Ste 304c, Haverhill, 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 |
|---|---|---|---|
| 1942629795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 290513 (Massachusetts) | Primary |
| 207N00000X | Dermatology | 63113 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeast Hospital Corporation | Beverly, MA | Hospital |
| North Shore Medical Center - | Salem, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Dermatology Associates Pc | 3072403799 | 82 |
| Entity Name | Northeast Dermatology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104921162 PECOS PAC ID: 3072403799 Enrollment ID: O20040317000655 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shane O'neil, MD Po Box 412012, Boston, MA 02241-2012 Ph: (978) 691-5691 | Dr Shane O'neil, MD 62 Brown St Ste 304c, Haverhill, MA 01830-6790 Ph: (978) 691-5690 |
Dr. Norman C Goldberg, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 62 Brown St Ste 304c, Haverhill, MA 01830 Phone: 978-691-5690 Fax: 978-691-5693 | |
Dr. Nils Hakan Thyresson, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: Merrimack Medical Center @ Merrimack Valley Hospital, 62 Brown Street, Suite 301, Haverhill, MA 01810 Phone: 978-374-6770 Fax: 978-374-1746 |