| Madiop Diouf, | |
|
45 Dimock St, Roxbury, MA 02119-1208 | |
| (617) 442-8800 | |
| (617) 541-8472 |
| Full Name | Madiop Diouf |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 45 Dimock St, Roxbury, 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 |
|---|---|---|---|
| 1578109856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN2295406 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beth Israel Deaconess Medical Center | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dimock Community Health Center, Inc. | 7012810492 | 29 |
| Entity Name | Dimock Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588719488 PECOS PAC ID: 7012810492 Enrollment ID: O20040202000242 |
| Entity Name | Carecentral Urgent Care Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922385319 PECOS PAC ID: 5496907099 Enrollment ID: O20121205000544 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200204002341 |
| Mailing Address | Practice Location Address |
|---|---|
| Madiop Diouf, 55 Dimock St, Roxbury, MA 02119-1029 Ph: (617) 442-8800 | Madiop Diouf, 45 Dimock St, Roxbury, MA 02119-1208 Ph: (617) 442-8800 |
Jasmine F Haque-ahmed, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1290 Tremont St, Roxbury, MA 02120 Phone: 617-427-1000 | |
Sandra Mccurbin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 New Dudley St, John D Obryant Sbhc, Roxbury, MA 02119 Phone: 617-534-9509 Fax: 617-534-9948 | |
Semere Tekie, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 76 Munroe St, Unit 2, Roxbury, MA 02119 Phone: 617-959-7911 | |
Fadzai Semwayo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1290 Tremont St, Roxbury, MA 02120 Phone: 617-427-1000 | |
Miss Claudia Isabel Marquez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-541-8472 | |
Eddie M Namugerwa, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1290 Tremont St, Roxbury, MA 02120 Phone: 617-427-1000 Fax: 617-858-2674 | |
Julia Deaver Arnett, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 Malcolm X Blvd, Roxbury, MA 02120 Phone: 617-534-9951 |