| Mr Shane Thomas Reilly, PA-C | |
|
55 Fogg Rd, South Weymouth, MA 02190-2455 | |
| (781) 624-8000 | |
| Not Available |
| Full Name | Mr Shane Thomas Reilly |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 55 Fogg Rd, South Weymouth, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972010429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | South Shore Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669411856 PECOS PAC ID: 3678487444 Enrollment ID: O20040413000332 |
| Entity Name | Coastal Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932175684 PECOS PAC ID: 7113029257 Enrollment ID: O20070221000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Shane Thomas Reilly, PA-C 55 Fogg Rd, South Weymouth, MA 02190-2455 Ph: (781) 624-8000 | Mr Shane Thomas Reilly, PA-C 55 Fogg Rd, South Weymouth, MA 02190-2455 Ph: (781) 624-8000 |
Bernadette Sherman, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-878-5200 |
Jennifer Calzarette, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Columbian St, South Weymouth, MA 02190 Phone: 781-624-5000 |
Mrs. Jaime Lee Jaronko, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-624-8000 |
Carissa C Rand, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 541 Main St, Suite 414, South Weymouth, MA 02190 Phone: 781-952-1433 Fax: 508-630-2462 |
Nicole Mary Mahoney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 780 Main St, South Weymouth, MA 02190 Phone: 781-331-4600 |
Isabel Hung, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, Department Of Surgery South Shore Hospital, South Weymouth, MA 02190 Phone: 781-340-3513 |
Mrs. Stephanie Louise Oppel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-624-8000 |