| Idriss El Koussaimi, MD | |
|
171 Main St, Suite 203, Ashland, MA 01721-1187 | |
| (508) 881-3029 | |
| (508) 881-1752 |
| Full Name | Idriss El Koussaimi |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 24 Years |
| Location | 171 Main St, Ashland, 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 |
|---|---|---|---|
| 1164695029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 247126 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Preferred Transitions Home Health Care Inc | Milford, MA | Home health agency |
| Metrowest Homecare And Hospice, An Amedisys Compan | Marlborough, MA | Home health agency |
| Vna And Hospice Of Greater Milford | Milford, MA | Home health agency |
| Milford Regional Medical Center | Milford, MA | Hospital |
| Metrowest Medical Center | Framingham, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charles River Medical Associates, Pc | 3476630450 | 110 |
| Entity Name | Charles River Medical Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598215204 PECOS PAC ID: 3476630450 Enrollment ID: O20161122000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Idriss El Koussaimi, MD 479 Washington St, Holliston, MA 01746-1828 Ph: (508) 429-2377 | Idriss El Koussaimi, MD 171 Main St, Suite 203, Ashland, MA 01721-1187 Ph: (508) 881-3029 |
Mr. Pramodhya Chirasevinupraphand, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 259 Main St, Ashland, MA 01721 Phone: 508-881-4368 Fax: 508-881-6300 |