| Max Mangano, | |
|
14 Tenney St, Georgetown, MA 01833-1710 | |
| (978) 852-5587 | |
| Not Available |
| Full Name | Max Mangano |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 14 Tenney St, Georgetown, 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 |
|---|---|---|---|
| 1487274668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (NU) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Shore Medical Center - | Salem, MA | Hospital |
| Lowell General Hospital | Lowell, MA | Hospital |
| Merrimack Health Lawrence Hospital | Lawrence, MA | Hospital |
| Merrimack Health Methuen Hospital | Methuen, MA | Hospital |
| Massachusetts General Hospital | Boston, MA | Hospital |
| Spaulding Rehabilitation Hospital | Charlestown, MA | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mass General Brigham Medical Group Northern Massachusetts Inc | 3577467224 | 817 |
| Entity Name | Mass General Brigham Medical Group Northern Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588606123 PECOS PAC ID: 3577467224 Enrollment ID: O20050429000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Max Mangano, 14 Tenney St, Georgetown, MA 01833-1710 Ph: Not Available | Max Mangano, 14 Tenney St, Georgetown, MA 01833-1710 Ph: (978) 852-5587 |
Ms. Virginia Irene Magee, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 28 Londonderry Ln, Georgetown, MA 01833 Phone: 978-476-1546 Fax: 978-352-8560 |
Alessandra Monroe, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 21 Nelson Ave, Georgetown, MA 01833 Phone: 978-352-7524 |