| Rian Mccormack, | |
|
33 Bow St, Somerville, MA 02143-2937 | |
| (617) 625-9992 | |
| (617) 666-0662 |
| Full Name | Rian Mccormack |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 33 Bow St, Somerville, 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 |
|---|---|---|---|
| 1699186312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA4876 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 360 Healthcare Llc | 5597131532 | 30 |
| Entity Name | Winchester Physician Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184606865 PECOS PAC ID: 4486540994 Enrollment ID: O20060215000452 |
| Entity Name | 360 Healthcare LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841919297 PECOS PAC ID: 5597131532 Enrollment ID: O20221017002563 |
| Mailing Address | Practice Location Address |
|---|---|
| Rian Mccormack, 33 Bow St, Somerville, MA 02143-2937 Ph: (617) 625-9992 | Rian Mccormack, 33 Bow St, Somerville, MA 02143-2937 Ph: (617) 625-9992 |
Claire Wan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 57 Montrose St # 1, Somerville, MA 02143 Phone: 404-578-7843 |
Henry W Stoll, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6000 Fax: 617-629-6070 |
D. Scott Gilbert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-654-7111 Fax: 617-629-6248 |
Ms. Juliane Liberus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 337 Somerville Ave, Somerville, MA 02143 Phone: 617-665-3370 |
Anupa Manjunatha, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Broadway, Somerville, MA 02145 Phone: 617-284-7000 |
Katherine Lemons, PA-C, MS, CNS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5 Middlesex Ave Fl 1, Somerville, MA 02145 Phone: 617-591-6900 |
Mr. Nicolas Junior Desjardins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 96 Summer St Apt 1, Somerville, MA 02143 Phone: 617-834-8784 |