| John Mitko, | |
|
680 Centre St, Brockton, MA 02302-3308 | |
| (508) 941-7000 | |
| Not Available |
| Full Name | John Mitko |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 10 Years |
| Location | 680 Centre 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 |
|---|---|---|---|
| 1023495520 | NPI | - | NPPES |
| 36156800 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 1019022 (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 |
|---|---|
| John Mitko, 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7000 | John Mitko, 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7000 |
Philip A Cohen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Pearl St, Suite 2000, Brockton, MA 02301 Phone: 508-584-4104 Fax: 508-584-2053 | |
Giovanni Agostino Ferrante, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 150-894-1700 | |
Dr. Henry Lin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0766 Fax: 508-565-0097 | |
Aqeel M Siddiqui, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 830 Oak St Ste 200w, Brockton, MA 02301 Phone: 774-480-1600 | |
Richard L Paulson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Pearl Street, Suite 2700, Brockton, MA 02301 Phone: 508-584-4104 Fax: 508-584-4105 | |
Kewei Zhang, Surgery Medicare: Not Enrolled in Medicare Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7400 Fax: 508-941-6200 |