| New England Regional Headache Center, Inc. | |
|
85 Prescott St Worcester MA 01605-2610 | |
| (508) 890-5633 | |
| (508) 890-1125 |
| Full Name | New England Regional Headache Center, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 85 Prescott St, Worcester, Massachusetts |
| Authorized Official Name and Position | Herbert G Markley (DIRECTOR) |
| Authorized Official Contact | 5088905633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New England Regional Headache Center, Inc. 85 Prescott St Worcester MA 01605-2610 Ph: (508) 890-5633 | New England Regional Headache Center, Inc. 85 Prescott St Worcester MA 01605-2610 Ph: (508) 890-5633 |
| NPI Number | 1770594525 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3779536149 |
|---|---|
| Medicare Enrollment ID | O20050225000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770594525 | NPI | - | NPPES |
| 9711449 | Medicaid | MA | |
| M17898 | Other | MA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 51010 (Massachusetts) | Primary |
| Provider Name | Herbert G Markley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043251598 PECOS PAC ID: 1355397431 Enrollment ID: I20050323000195 |
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