| Tutasi K Waters, MD | |
|
2 Washington St Ste 210, North Easton, MA 02356-1011 | |
| (508) 894-8750 | |
| (508) 894-8752 |
| Full Name | Tutasi K Waters |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 29 Years |
| Location | 2 Washington St Ste 210, North Easton, 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 |
|---|---|---|---|
| 1073539334 | NPI | - | NPPES |
| 0110540 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 205083 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Signature Healthcare Brockton Hospital | Brockton, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Signature Healthcare Medical Group Inc | 7719876267 | 207 |
| Entity Name | Signature Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372 |
| Entity Name | Brockton Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063431286 PECOS PAC ID: 4082504733 Enrollment ID: O20040317000871 |
| Entity Name | Obhg Massachusetts - Direct Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487229035 PECOS PAC ID: 1456752609 Enrollment ID: O20210625001903 |
| Mailing Address | Practice Location Address |
|---|---|
| Tutasi K Waters, MD 680 Centre St, Credentialing Department, Brockton, MA 02302-3308 Ph: (508) 941-7009 | Tutasi K Waters, MD 2 Washington St Ste 210, North Easton, MA 02356-1011 Ph: (508) 894-8750 |
Ms. Lisa Domal Sweeney, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 15 Roche Bros Way Ste 220, One Washington St, North Easton, MA 02356 Phone: 508-230-0155 Fax: 508-230-0145 | |
Keith S Merlin, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 31 Roche Bros Way, North Easton, MA 02356 Phone: 508-894-8740 Fax: 508-894-8742 | |
Lauren R Brown, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 31 Roche Brothers Way, Two Washington Place, Suite 210, North Easton, MA 02356 Phone: 508-894-8740 Fax: 508-894-8742 | |
Dr. Yiran Xu, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 31 Roche Bros Way, North Easton, MA 02356 Phone: 508-894-8740 Fax: 508-894-8742 |