| Emerald Physician Services, Llc | |
| 
					433 W Main St Hyannis MA 02601  | |
| (508) 778-4777 | |
| (508) 771-9555 | 
| Full Name | Emerald Physician Services, Llc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 433 W Main St, Hyannis, Massachusetts | 
| Authorized Official Name and Position | Michael L Connors (CFO) | 
| Authorized Official Contact | 5089578540 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Emerald Physician Services, Llc 297 North St Ste 221 Hyannis MA 02601-5133 Ph: (508) 862-7777  | Emerald Physician Services, Llc 433 W Main St Hyannis MA 02601 Ph: (508) 778-4777  | 
| NPI Number | 1952443244 | 
|---|---|
| Provider Enumeration Date | 02/13/2007 | 
| Last Update Date | 08/08/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952443244 | NPI | - | NPPES | 
| 685025 | Other | MA | USFHP GROUP NUMBER | 
| M16587 | Other | MA | BLUE CROSS GROUP NUMBER | 
| 9787208 | Medicaid | MA | |
| 685025 | Other | MA | TUFTS INS. GROUP NUMBER | 
| CH1554 | Other | RR MEDICARE GROUP NUMBER | |
| 2520242 | Other | MA | AETNA GROUP NUMBER | 
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