| Elizabeth Douglas, DO | |
| 
					55 Lake Ave N, Worcester, MA 01655-0002  | |
| (508) 334-2731 | |
| (774) 442-4672 | 
| Full Name | Elizabeth Douglas | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine | 
| Location | 55 Lake Ave N, Worcester, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922685742 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 1020543 (Massachusetts) | Primary | 
| Entity Name | Umass Memorial Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Elizabeth Douglas, DO Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885  | Elizabeth Douglas, DO 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 334-2731  | 
Dr. Adepeju Gbadebo Champion, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-2731 Fax: 774-442-4672  | |
Madaiah Lokeshwari, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-6849  | |
Sowmya Korapati,  Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3550 Fax: 774-442-6715  | |
Dr. Herman Anthony Carneiro, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3452  | |
Irma Nadeem Hashmi, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000  | |
Dr. Madhav Sharma, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5438  | |
Daniel M Steigman, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 123 Summer Street, Suite 390, Worcester, MA 01608 Phone: 508-368-3120 Fax: 508-368-3121  |