| Gerald T Mcgillicuddy, MD | |
|
67 Belmont St, Worcester, MA 01605-2657 | |
| (508) 752-4336 | |
| (508) 795-0407 |
| Full Name | Gerald T Mcgillicuddy |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 67 Belmont St, 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 |
|---|---|---|---|
| 1932165891 | NPI | - | NPPES |
| 110050677A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 50103 (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 |
|---|---|
| Gerald T Mcgillicuddy, MD Po Box 415348, Boston, MA 02241-5348 Ph: () - | Gerald T Mcgillicuddy, MD 67 Belmont St, Worcester, MA 01605-2657 Ph: (508) 752-4336 |
Dr. Stephen M Gutting, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-0605 | |
Oguz I Cataltepe, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Department Of Neurosurgery, Worcester, MA 01655 Phone: 508-334-0605 Fax: 508-856-5074 | |
Dr. Madhav Sukumaran, MD, PHD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Avenue North, Worcester, MA 01655 Phone: 508-334-0605 | |
Frederik A Pennings, M.D., PHD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-1886 Fax: 508-334-9769 | |
Richard P Moser, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Surgery, Worcester, MA 01655 Phone: 508-334-0605 Fax: 508-856-5074 | |
Arno S. Sungarian, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 67 Belmont St, Worcester, MA 01605 Phone: 508-752-6381 Fax: 508-795-0407 | |
Farid Hamzei-sichani, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-0605 Fax: 508-856-5074 |