| Mr Nicolaos V Athienites, MD | |
|
830 Oak St, 125e, Brockton, MA 02301-1168 | |
| (508) 588-1505 | |
| (508) 588-1508 |
| Full Name | Mr Nicolaos V Athienites |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 39 Years |
| Location | 830 Oak St, Brockton, 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 |
|---|---|---|---|
| 1902804107 | NPI | - | NPPES |
| 10246 | Other | HARVARD | |
| 760216 | Other | TUFTS | |
| 3079937 | Medicaid | MA | |
| J1127 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 73425 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Us Renal Care Weymouth Dialysis | Weymouth, MA | Dialysis facility |
| Us Renal Care Quincy | Quincy, MA | Dialysis facility |
| Brockton Dialysis Center, Llc | Brockton, MA | Dialysis facility |
| Weymouth Dialysis | Weymouth, MA | Dialysis facility |
| Brockton Regional Kidney Center | Brockton, MA | Dialysis facility |
| South Shore Hospital | South weymouth, MA | Hospital |
| Signature Healthcare Brockton Hospital | Brockton, MA | Hospital |
| Good Samaritan Medical Center | Brockton, MA | Hospital |
| Brigham And Women's Hospital | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Renal Medical Care P.c. | 3678645173 | 4 |
| Signature Healthcare Medical Group Inc | 7719876267 | 207 |
| Entity Name | Signature Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372 |
| Entity Name | Renal Medical Care P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912048414 PECOS PAC ID: 3678645173 Enrollment ID: O20080627000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nicolaos V Athienites, MD 830 Oak St, 125e, Brockton, MA 02301-1168 Ph: (508) 588-1505 | Mr Nicolaos V Athienites, MD 830 Oak St, 125e, Brockton, MA 02301-1168 Ph: (508) 588-1505 |
Louis D. Gottlieb, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 680 Centre St, Managed Care, Brockton, MA 02302 Phone: 508-941-7065 Fax: 508-941-6373 | |
Gloria Ibarra, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-559-5073 | |
Elsie Varughese, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-583-4649 | |
Jane G Butlin, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1 Pearl St, Suite 2200, Brockton, MA 02301 Phone: 508-897-6051 Fax: 508-897-6096 | |
Jacob Mandell, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton Hospital, Brockton, MA 02302 Phone: 508-941-7150 | |
Renu B Prakash, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 617-789-3000 | |
Jolly Abeskheron, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1 Pearl St, Suite 1000, Brockton, MA 02301 Phone: 508-897-6060 Fax: 508-897-6063 |