| Vitaly E Ermolin, MD | |
|
55 Fogg Rd, Weymouth, MA 02190-2432 | |
| (781) 624-8000 | |
| (781) 878-6750 |
| Full Name | Vitaly E Ermolin |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 28 Years |
| Location | 55 Fogg Rd, Weymouth, 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 |
|---|---|---|---|
| 1114901485 | NPI | - | NPPES |
| 268992800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 246085 (Massachusetts) | Secondary |
| 207R00000X | Internal Medicine | ME 88741 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Shore Hospital | South weymouth, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Medical Associates | 7113029257 | 412 |
| Entity Name | Coastal Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932175684 PECOS PAC ID: 7113029257 Enrollment ID: O20070221000057 |
| Entity Name | Sound Physicians Of Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740678408 PECOS PAC ID: 2062554637 Enrollment ID: O20100120000133 |
| Entity Name | Sound Physicians Of Massachusetts Ii Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306376397 PECOS PAC ID: 9436421567 Enrollment ID: O20170823003703 |
| Mailing Address | Practice Location Address |
|---|---|
| Vitaly E Ermolin, MD 141 Longwater Dr Ste 201, Norwell, MA 02061-1620 Ph: (781) 792-4136 | Vitaly E Ermolin, MD 55 Fogg Rd, Weymouth, MA 02190-2432 Ph: (781) 624-8000 |
Todd Alan Kerensky, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Road, Weymouth, MA 02190 Phone: 781-624-8000 Fax: 781-878-6750 | |
Dr. Faruk Obut, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, Weymouth, MA 02190 Phone: 781-624-8000 | |
Ronald W Dunlap, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 70 Pleasant St, South Shore Cardiology, Weymouth, MA 02190 Phone: 781-331-2000 | |
Dr. Sveta Shah Oza, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Libbey Pkwy, Weymouth, MA 02189 Phone: 781-331-2922 Fax: 781-682-0611 | |
Dr. Matthew D Giangola, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Road, Weymouth, MA 02190 Phone: 781-792-4136 Fax: 781-878-6750 | |
Leonid D Shturman, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Libbey Industrial Pkwy, Weymouth, MA 02189 Phone: 781-682-0610 Fax: 781-682-0611 |