| Jason Lou, | |
|
110 Liberty St, Brockton, MA 02301-5674 | |
| (508) 565-3055 | |
| Not Available |
| Full Name | Jason Lou |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 9 Years |
| Location | 110 Liberty St, Brockton, 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 |
|---|---|---|---|
| 1649621442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 036.150868 (Illinois) | Secondary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 291672 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Signature Healthcare Brockton Hospital | Brockton, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Signature Healthcare Medical Group Inc | 7719876267 | 207 |
| Entity Name | Signature Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Lou, 110 Liberty St Ste 505, Brockton, MA 02301-5674 Ph: (508) 565-3055 | Jason Lou, 110 Liberty St, Brockton, MA 02301-5674 Ph: (508) 565-3055 |
Susan Diver, RPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 215 Thatcher St, Brockton, MA 02302 Phone: 508-583-5834 | |
Dr. Tara Samantha Swim, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-565-3055 Fax: 508-894-0757 | |
Meredith Celine Harrington, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-941-7000 | |
Dr. John Alexander Wallington, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-565-3055 Fax: 508-894-0757 | |
Jerry Chi Chuan Fang, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 | |
Rosealiza Wan Zaid, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 425 Pleasant St Ste 202, Brockton, MA 02301 Phone: 508-640-5000 | |
Emily Lane Carney, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 940 Belmont St, Brockton, MA 02301 Phone: 508-583-4500 |