| Mikhail Novikov, MD | |
|
318 Main St Ste 165, Northborough, MA 01532-3609 | |
| (508) 936-1657 | |
| Not Available |
| Full Name | Mikhail Novikov |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 32 Years |
| Location | 318 Main St Ste 165, Northborough, 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 |
|---|---|---|---|
| 1629278221 | NPI | - | NPPES |
| 110086646A | Medicaid | MA | |
| P00838801 | Other | MA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 241998 (Massachusetts) | Secondary |
| 208D00000X | General Practice | 241998 (Massachusetts) | Secondary |
| 208600000X | Surgery | 241998 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sturdy Memorial Hospital | Attleboro, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mikhail Novikov Md, Pc | 4981917952 | 2 |
| Mikhail Novikov Md, Pc | 4981917952 | 2 |
| Entity Name | Mikhail Novikov Md, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124418058 PECOS PAC ID: 4981917952 Enrollment ID: O20150720002444 |
| Mailing Address | Practice Location Address |
|---|---|
| Mikhail Novikov, MD 10 Thaddeus Mason Rd, Northborough, MA 01532-2284 Ph: (617) 209-7823 | Mikhail Novikov, MD 318 Main St Ste 165, Northborough, MA 01532-3609 Ph: (508) 936-1657 |
Mostafa Noury, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 25 W Main St, Northborough, MA 01532 Phone: 508-340-0070 Fax: 617-488-2214 | |
Dr. David John Maitland, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 35 Franklin Cir, Northborough, MA 01532 Phone: 508-393-2300 |