| Jennifer Russo, | |
|
166 Central St, Lowell, MA 01852 | |
| (978) 513-7300 | |
| (781) 268-5070 |
| Full Name | Jennifer Russo |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 166 Central St, Lowell, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699032128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 261536 (Massachusetts) | Primary |
| Entity Name | Emerson Practice Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508020199 PECOS PAC ID: 8123188117 Enrollment ID: O20081120000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Russo, 240 Main St, Groton, MA 01450-1236 Ph: (978) 448-4300 | Jennifer Russo, 166 Central St, Lowell, MA 01852 Ph: (978) 513-7300 |
Alexandra Miniati, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 Phone: 978-452-9700 Fax: 978-441-6075 | |
Dr. Cynthia Lynn Manning, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-937-6439 | |
Mrs. Frances M Morse, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 275 Varnum Ave, Ste 101, Lowell, MA 01854 Phone: 978-459-0531 Fax: 978-459-8389 | |
Mrs. Sara Larson Clay, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 Varnum Ave, Ste 201, Lowell, MA 01854 Phone: 978-452-9700 Fax: 978-441-6075 | |
Riad Ettunsi, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-937-6000 | |
Peter S Bradshaw, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 77 E Merrimack St, Suite 15, Lowell, MA 01852 Phone: 978-459-3341 | |
Seema Sahib, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 295 Varnum Ave # General, Lowell, MA 01854 Phone: 978-937-6439 |