| Dr Walter Dittel, MD | |
|
680 Centre St, Brockton, MA 02302-3308 | |
| (508) 941-7618 | |
| (508) 941-6299 |
| Full Name | Dr Walter Dittel |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 25 Years |
| Location | 680 Centre St, Brockton, Massachusetts |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497915813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MT186869 (Pennsylvania) | Secondary |
| 208000000X | Pediatrics | MT186869 (Pennsylvania) | Secondary |
| 208M00000X | Hospitalist | 256967 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice And Palliative Care | Fairhaven, MA | Hospice |
| Southcoast Hospitals Group | Fall river, MA | Hospital |
| Morton Hospital | Taunton, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southcoast Physicians Group Inc | 0749171957 | 789 |
| Lifespan Physician Group Of Massachusetts Inc | 3870020399 | 286 |
| Entity Name | Southcoast Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
| 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 |
| Entity Name | Sound Physicians Of Massachusetts Ii Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306376397 PECOS PAC ID: 9436421567 Enrollment ID: O20170823003703 |
| Entity Name | Lifespan Physician Group Of Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235957713 PECOS PAC ID: 3870020399 Enrollment ID: O20241223001706 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Walter Dittel, MD 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7618 | Dr Walter Dittel, MD 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7618 |
Soujanya Thummathati, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7299 Fax: 508-941-6299 | |
Rakshith Gadam, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7618 Fax: 508-941-6299 | |
Savan B Patel, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 235 North Pearl St, Brockton, MA 02301 Phone: 508-427-3000 | |
Dr. George P Sorescu, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 830 Oak St Ste 123e, Brockton, MA 02301 Phone: 508-588-0832 Fax: 508-510-6082 | |
Amy Wisteria Baughman, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 940 Belmont Street, Veterans Affairs Boston Healthcare System, Brockton, MA 02301 Phone: 774-826-1860 |