| Michael Riskalla, | |
|
1 General St, Lawrence, MA 01841-2961 | |
| (978) 683-4000 | |
| Not Available |
| Full Name | Michael Riskalla |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 1 General St, Lawrence, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538628631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 294844 (Massachusetts) | Primary |
| Entity Name | Mass General Brigham Medical Group Northern Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588606123 PECOS PAC ID: 3577467224 Enrollment ID: O20050429000668 |
| 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 | Coastal Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932175684 PECOS PAC ID: 7113029257 Enrollment ID: O20070221000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Riskalla, 1 General St, Lawrence, MA 01841-2997 Ph: () - | Michael Riskalla, 1 General St, Lawrence, MA 01841-2961 Ph: (978) 683-4000 |
Dawn Bollhardt, CNP Hospitalist Medicare: Medicare Enrolled Practice Location: 1 General St, Lawrence, MA 01841 Phone: 978-683-4000 | |
Dr. Ryan M Mccaffrey, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 General St, Lawrence, MA 01841 Phone: 347-861-5667 | |
Khalid Munawar, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 General St, Lawrence, MA 01841 Phone: 978-683-4000 | |
Oleksandr Stupnytskyi, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 25 Marston Street, 404a, Lawrence, MA 01841 Phone: 978-725-5913 Fax: 978-725-5918 |