| Bayon Medical Group Llc | |
|
280 Union St # 402 Lynn MA 01901-1353 | |
| (781) 780-7755 | |
| (781) 598-0243 |
| Full Name | Bayon Medical Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 280 Union St # 402, Lynn, Massachusetts |
| Authorized Official Name and Position | Vladimir Batrin (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8574526356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayon Medical Group Llc 280 Union St Ste 402 Lynn MA 01901-1353 Ph: (781) 780-7755 | Bayon Medical Group Llc 280 Union St # 402 Lynn MA 01901-1353 Ph: (781) 780-7755 |
| NPI Number | 1154866234 |
|---|---|
| Provider Enumeration Date | 12/28/2016 |
| Last Update Date | 06/12/2025 |
| Certification Date | 06/12/2025 |
| Medicare PECOS PAC ID | 3779846241 |
|---|---|
| Medicare Enrollment ID | O20180416000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154866234 | NPI | - | NPPES |
| 110120791A | Medicaid | MA | |
| 110120791B | Medicaid | MA |
| Provider Name | Chhan Touch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194792408 PECOS PAC ID: 2769474485 Enrollment ID: I20040401001263 |
| Provider Name | Irina Natapov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619979408 PECOS PAC ID: 1254438492 Enrollment ID: I20070522000582 |
| Provider Name | Nida N Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780998765 PECOS PAC ID: 3072768290 Enrollment ID: I20130219000268 |
| Provider Name | Nalyne S Dom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427424845 PECOS PAC ID: 9931419306 Enrollment ID: I20151116000446 |
| Provider Name | Miadette Pheng-phal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073044616 PECOS PAC ID: 2163793944 Enrollment ID: I20170814001007 |
| Provider Name | Maredy Sar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598368045 PECOS PAC ID: 4486025814 Enrollment ID: I20230124000085 |
| Provider Name | Yuthnita Men |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285465013 PECOS PAC ID: 9638610819 Enrollment ID: I20240916003702 |
| Provider Name | Sochanviphea Loch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932956075 PECOS PAC ID: 5991246076 Enrollment ID: I20240916003797 |
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