| Taylor Maxwell Goller, | |
|
725 North St, Pittsfield, MA 01201-4109 | |
| (413) 447-2000 | |
| Not Available |
| Full Name | Taylor Maxwell Goller |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 8 Years |
| Location | 725 North St, Pittsfield, 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 |
|---|---|---|---|
| 1619473899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 287780 (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Berkshire Medical Center Inc - 1 | Pittsfield, MA | Hospital |
| North Adams Regional Hospital | North adams, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Berkshire Faculty Services Inc | 8224068424 | 276 |
| Berkshire Medical Center Inc | 1355232711 | 195 |
| Entity Name | Berkshire Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295765261 PECOS PAC ID: 1355232711 Enrollment ID: O20040324000088 |
| Entity Name | Berkshire Faculty Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548212939 PECOS PAC ID: 8224068424 Enrollment ID: O20050817001122 |
| Entity Name | North Adams Regional Hospital Corporation |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1437839669 PECOS PAC ID: 2961846886 Enrollment ID: O20240222002839 |
| Entity Name | North Adams Regional Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316727761 PECOS PAC ID: 2961846886 Enrollment ID: O20240410002251 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Maxwell Goller, 15 Wellesley St, Pittsfield, MA 01201-7307 Ph: (802) 318-1213 | Taylor Maxwell Goller, 725 North St, Pittsfield, MA 01201-4109 Ph: (413) 447-2000 |