| Mark Alan Radzicki, MD | |
|
77 Boylston Street, Springfield, MA 01104 | |
| (413) 734-8254 | |
| (413) 747-5870 |
| Full Name | Mark Alan Radzicki |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 77 Boylston Street, Springfield, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598732281 | NPI | - | NPPES |
| 30013000 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 40489 (Massachusetts) | Primary |
| Entity Name | Riverbend Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841651197 PECOS PAC ID: 5698064343 Enrollment ID: O20160614001710 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Alan Radzicki, MD 354 Birnie Ave, Hampden County Physician Associates, Springfield, MA 01107-1108 Ph: (413) 733-3470 | Mark Alan Radzicki, MD 77 Boylston Street, Springfield, MA 01104 Ph: (413) 734-8254 |
Mr. Kanishq Rajan Jethani, M.D Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-4320 Fax: 413-794-1767 | |
Grace Makari-judson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3350 Main Street, Springfield, MA 01107 Phone: 413-794-9338 Fax: 413-794-9754 | |
Peter Whittredge, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Center Dr, Suite 410, Springfield, MA 01107 Phone: 413-781-5735 Fax: 413-732-0225 | |
Dr. Marc A Goldman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 Carew St Ste 200, Springfield, MA 01104 Phone: 413-732-4269 Fax: 413-785-4619 | |
Twara K Tarasaria, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-6297 Fax: 413-794-1767 | |
Emily Mildred Ramasra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Main St Fl 3, Springfield, MA 01107 Phone: 413-794-7394 Fax: 413-794-7136 | |
Noor Tariq, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-6297 Fax: 413-794-1767 |