| Susan A Stafford, MD | |
|
235 N Pearl St, Radiology Department, Brockton, MA 02301-1794 | |
| (508) 427-3106 | |
| (508) 427-2538 |
| Full Name | Susan A Stafford |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 44 Years |
| Location | 235 N Pearl St, Brockton, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649221862 | NPI | - | NPPES |
| 3007570 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 053842 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lowell General Hospital | Lowell, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Merrimack Radiology-cra Llc | 8426287269 | 52 |
| Entity Name | Commonwealth Radiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295711661 PECOS PAC ID: 2668468406 Enrollment ID: O20081210000048 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356654495 PECOS PAC ID: 2860688728 Enrollment ID: O20101120000012 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821349317 PECOS PAC ID: 2860688728 Enrollment ID: O20130626000396 |
| Entity Name | Merrimack Radiology-cra Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275871154 PECOS PAC ID: 8426287269 Enrollment ID: O20140128000095 |
| Entity Name | Mw Radiology-cra Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114555398 PECOS PAC ID: 6406270040 Enrollment ID: O20200716000148 |
| Entity Name | Tmc Radiology Cra Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851046726 PECOS PAC ID: 4486041746 Enrollment ID: O20220505000580 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan A Stafford, MD 1227 Lowell Rd, Concord, MA 01742-5523 Ph: (508) 427-3106 | Susan A Stafford, MD 235 N Pearl St, Radiology Department, Brockton, MA 02301-1794 Ph: (508) 427-3106 |
Steven H Oh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 508-427-2665 Fax: 508-427-2538 | |
David E Osayande, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000 | |
Stephen T Sweriduk, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 Westgate Dr, Brockton, MA 02301 Phone: 800-258-4674 Fax: 508-897-3198 | |
Ketan Patel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 Westgate Dr, Brockton, Brockton, MA 02301 Phone: 800-258-4674 Fax: 508-897-3198 | |
George William Poulos, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Signature Healthcare, Brockton Hospital, Radiology, Brockton, MA 02302 Phone: 508-941-7150 | |
Dr. Bruce Kenneth Bertrand, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-565-3275 | |
Jorge Ganson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 235 N Pearl St, Radiology Department, Brockton, MA 02301 Phone: 508-427-3106 Fax: 508-427-2538 |