| Rayford S Kruger Jr, MD | |
|
100 Rosebrook Way, 3rd Fl, Wareham, MA 02571-1138 | |
| (508) 273-4900 | |
| (508) 273-4901 |
| Full Name | Rayford S Kruger Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 100 Rosebrook Way, Wareham, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033277926 | NPI | - | NPPES |
| 110048469A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 72306 (Massachusetts) | Primary |
| Entity Name | Southcoast Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
| Mailing Address | Practice Location Address |
|---|---|
| Rayford S Kruger Jr, MD 200 Mill Rd, Ste 180, Fairhaven, MA 02719-5252 Ph: (508) 973-2000 | Rayford S Kruger Jr, MD 100 Rosebrook Way, 3rd Fl, Wareham, MA 02571-1138 Ph: (508) 273-4900 |
Olivia Duhaime, Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Rosebrook Way, Wareham, MA 02571 Phone: 508-273-4901 Fax: 508-973-4907 | |
Jorge A. Huaco Cateriano, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Rosebrook Way, Suite 300, Wareham, MA 02571 Phone: 508-273-4900 Fax: 508-273-4901 | |
Donald A. Colacchio, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Rosebrook Way, 3rd Floor, Wareham, MA 02571 Phone: 508-273-4900 Fax: 508-273-4901 | |
Dr. Rachel A. J. Cimaomo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Rosebrook Way, Wareham, MA 02571 Phone: 508-273-4900 Fax: 508-273-4901 | |
Thomas T. Streeter, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Rosebrook Way, 3rd Floor, Wareham, MA 02571 Phone: 508-273-4900 Fax: 508-273-4901 | |
John Mills, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Rosebrook Way, Wareham, MA 02571 Phone: 508-273-4901 Fax: 508-973-4907 |