| Ms Mary C Chang, DO | |
| 600 Primrose St Ste 202, Haverhill, MA 01830-2659 | |
| (978) 556-1000 | |
| (978) 556-0094 | 
| Full Name | Ms Mary C Chang | 
|---|---|
| Gender | Female | 
| Speciality | Obstetrics & Gynecology | 
| Location | 600 Primrose St Ste 202, Haverhill, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407870389 | NPI | - | NPPES | 
| K1390 | Other | TX | STATE LICENSE | 
| 8P0851 | Other | TX | BC/BS | 
| 039764802 | Medicaid | TX | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | K1390 (Texas) | Secondary | 
| 207V00000X | Obstetrics & Gynecology | 243524 (Massachusetts) | Primary | 
| Entity Name | Seacoast Affiliated Group Practice Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801892344 PECOS PAC ID: 1658357843 Enrollment ID: O20040628001193 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Mary C Chang, DO 24 Morrill Pl Ste 2, Amesbury, MA 01913-3530 Ph: (978) 834-8074 | Ms Mary C Chang, DO 600 Primrose St Ste 202, Haverhill, MA 01830-2659 Ph: (978) 556-1000 | 
| Dr. Christannah M Waters, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 62 Brown St, Suite 405, Haverhill, MA 01830 Phone: 978-912-7450 Fax: 978-912-7420 | |
| Jane Kerr-fernandez, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 600 Primrose St Ste 202, Haverhill, MA 01830 Phone: 978-556-1000 Fax: 978-556-0101 | |
| Steven Mollov, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 600 Primrose St Ste 202, Haverhill, MA 01830 Phone: 978-556-1000 Fax: 978-556-0100 | |
| Dr. Melinda Ropar Birdsall, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 62 Brown Street Suite 202, Merrimack Valley Gynecology, Haverhill, MA 01830 Phone: 978-914-7736 Fax: 978-702-4432 | |
| Celeste Royce, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2 Water St, Central Plaza, Haverhill, MA 01830 Phone: 978-556-0100 | |
| Susan Newhouse, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2 Water St, Central Plaza, Haverhill, MA 01830 Phone: 978-556-0100 |