| Roman Nicolas Santos, MD | |
|
69 Main St, Lakeville, MA 02347-3628 | |
| (508) 947-4400 | |
| (508) 946-1610 |
| Full Name | Roman Nicolas Santos |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 69 Main St, Lakeville, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356450985 | NPI | - | NPPES |
| 3008657 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 53465 (Massachusetts) | Primary |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Roman Nicolas Santos, MD 69 Main St, Lakeville, MA 02347-3628 Ph: (508) 947-4400 | Roman Nicolas Santos, MD 69 Main St, Lakeville, MA 02347-3628 Ph: (508) 947-4400 |
Robert James Gagnon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5 Precinct St, Lakeville, MA 02347 Phone: 508-947-6666 Fax: 508-923-0060 | |
Jennifer L Koester, MSN, APRN, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 5 Precinct St, Lakeville, MA 02347 Phone: 508-947-6666 | |
Dr. Charles G Walker, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 15 Vaughan St, Lakeville, MA 02347 Phone: 774-213-5105 Fax: 774-213-5105 |