| Liliane K Yacoub, MD | |
|
70 East St, Attn Pathology Dept, Methuen, MA 01844-4597 | |
| (978) 687-0156 | |
| (978) 691-5709 |
| Full Name | Liliane K Yacoub |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 39 Years |
| Location | 70 East St, Methuen, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295724748 | NPI | - | NPPES |
| 767113 | Other | MA | TUFTS |
| 3159621 | Medicaid | MA | |
| 34738 | Other | MA | HPHC |
| J17222 | Other | MA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 81649 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Family Hospital | Methuen, MA | Hospital |
| Lawrence General Hospital | Lawrence, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lawrence General Hospital | 5092725200 | 97 |
| Community Medical Associates, Inc. | 6002946928 | 119 |
| Entity Name | Lawrence General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750381281 PECOS PAC ID: 5092725200 Enrollment ID: O20060503000236 |
| Entity Name | North Worcester Gastroenterology, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245567049 PECOS PAC ID: 7113069899 Enrollment ID: O20100119000132 |
| Entity Name | Community Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144544040 PECOS PAC ID: 6002946928 Enrollment ID: O20100618000560 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013220151 PECOS PAC ID: 2860688728 Enrollment ID: O20101118000660 |
| Entity Name | Center For Digestive Wellness Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346679867 PECOS PAC ID: 0042435117 Enrollment ID: O20140703000215 |
| Mailing Address | Practice Location Address |
|---|---|
| Liliane K Yacoub, MD 460 Totten Pond Rd, C/o Mzi, Waltham, MA 02451-1991 Ph: (781) 890-9933 | Liliane K Yacoub, MD 70 East St, Attn Pathology Dept, Methuen, MA 01844-4597 Ph: (978) 687-0156 |
Donald G Ross, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 70 East St, Attn: Pathology Dept, Methuen, MA 01844 Phone: 978-687-0156 Fax: 978-691-5709 |