| Suresh Mamidala, MD | |
|
100 South St., Southbridge, MA 01550 | |
| (508) 764-9771 | |
| Not Available |
| Full Name | Suresh Mamidala |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 26 Years |
| Location | 100 South St., Southbridge, 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 |
|---|---|---|---|
| 1437394350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 241829 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harrington Memorial Hospital-1 | Southbridge, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Umass Memorial Medical Group Inc | 4284539891 | 2096 |
| Entity Name | Umass Memorial Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Suresh Mamidala, MD 123 Summer Street, Worcester, MA 01608 Ph: (508) 363-5000 | Suresh Mamidala, MD 100 South St., Southbridge, MA 01550 Ph: (508) 764-9771 |
Dr. Andrei Bandarchuk, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Sayles St, Southbridge, MA 01550 Phone: 508-764-2400 Fax: 508-909-7770 | |
Dr. Krishnaveni Sirigaddi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 South St, Southbridge, MA 01550 Phone: 508-765-9771 | |
Dr. John Gus Stagias, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 428 Hamilton St, Southbridge, MA 01550 Phone: 508-765-1600 Fax: 508-765-0253 | |
Mary E Frisella, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 South St, Southbridge, MA 01550 Phone: 508-764-6041 Fax: 508-764-6318 | |
Dr. William Francis Dunn, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 100 South St, Suite G08, Southbridge, MA 01550 Phone: 508-764-2620 Fax: 508-765-1807 | |
Tai Temple, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 South St, Southbridge, MA 01550 Phone: 508-765-9771 Fax: 508-909-7735 | |
Dr. Patrick Alain Duplan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 South St, Southbridge, MA 01550 Phone: 508-765-9771 Fax: 508-909-7735 |