| Michael Kent Tibbles, MD | |
|
85 Herrick St, Beverly, MA 01915-1776 | |
| (978) 922-3000 | |
| Not Available |
| Full Name | Michael Kent Tibbles |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 85 Herrick St, Beverly, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801878699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 219627 (Massachusetts) | Primary |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Kent Tibbles, MD 85 Herrick St, Beverly, MA 01915 Ph: (978) 922-3000 | Michael Kent Tibbles, MD 85 Herrick St, Beverly, MA 01915-1776 Ph: (978) 922-3000 |
Donald A Pasquarello, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-922-3000 | |
Dr. Deborah Lynne Korik, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 85 Herrick St, Beverly Hospital, Beverly, MA 01915 Phone: 978-922-3000 | |
Stephen Andrew Schillinger, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 Herrick St, Beverly Hospital Emergency Department, Beverly, MA 01915 Phone: 978-922-3000 | |
Kiera Mccarthy, AT/S Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 376 Hale St, Beverly, MA 01915 Phone: 203-297-5868 | |
Dr. Kirsten Amanda Malsnee, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 85 Herrick St, Beverly Hospital, Emergency Department, Beverly, MA 01915 Phone: 978-922-3000 | |
Dr. Kyan Berger, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-922-3000 | |
Dr. Bradley Louis Demeter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-922-3000 Fax: 978-524-6028 |