| Timothy E Soule-regine, MD | |
|
201 S Main St, Ste 1, Athol, MA 01331-2117 | |
| (978) 248-3840 | |
| (978) 249-7227 |
| Full Name | Timothy E Soule-regine |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 201 S Main St, Athol, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588664247 | NPI | - | NPPES |
| 3047709 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 70502 (Massachusetts) | Primary |
| Entity Name | North Quabbin Family Physicians, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457302721 PECOS PAC ID: 1951376003 Enrollment ID: O20040901000025 |
| Entity Name | Athol Memorial Hospital Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336120047 PECOS PAC ID: 7911959846 Enrollment ID: O20050218000228 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy E Soule-regine, MD 201 S Main St, Ste 1, Athol, MA 01331-2117 Ph: (978) 248-3840 | Timothy E Soule-regine, MD 201 S Main St, Ste 1, Athol, MA 01331-2117 Ph: (978) 248-3840 |
Jacquelyn R Mckean, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 81 Reservoir Dr, Athol, MA 01331 Phone: 978-248-5135 | |
Diane E Grasso, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 201 S Main St Ste 1, Athol, MA 01331 Phone: 978-249-0099 Fax: 978-249-7227 | |
Jennifer S Mark, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Athol Memorial Hospital, 2033 Main Street, Athol, MA 01331 Phone: 978-249-3511 | |
Olha Duda, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2033 Main St, Athol, MA 01331 Phone: 978-249-3511 Fax: 978-410-6109 | |
Ashley Warner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 81 Reservoir Dr, Athol, MA 01331 Phone: 978-248-5135 Fax: 978-248-5130 |