| Susannah J Clark, PA-C | |
|
275 Varnum Ave Ste 203, Lowell, MA 01854-2109 | |
| (978) 458-4300 | |
| (978) 458-4311 |
| Full Name | Susannah J Clark |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 275 Varnum Ave Ste 203, Lowell, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770805202 | NPI | - | NPPES |
| 110121498A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA3930 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Winchester Hospital | Winchester, MA | Hospital |
| Lahey Hospital & Medical Center, Burlington | Burlington, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beth Israel Lahey Health Specialty Care, Inc. | 2365405024 | 264 |
| Entity Name | Beth Israel Lahey Health Specialty Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235147760 PECOS PAC ID: 2365405024 Enrollment ID: O20050111000265 |
| Entity Name | Bmc Affiliated Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245320910 PECOS PAC ID: 9830133123 Enrollment ID: O20050617000054 |
| 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 | Emerson Practice Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508020199 PECOS PAC ID: 8123188117 Enrollment ID: O20081120000518 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Susannah J Clark, PA-C 275 Varnum Ave Ste 203, Lowell, MA 01854-2109 Ph: (978) 458-4300 | Susannah J Clark, PA-C 275 Varnum Ave Ste 203, Lowell, MA 01854-2109 Ph: (978) 458-4300 |
Ms. Olimpia P Suciu, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 275 Varnum Ave Ste 201, Lowell, MA 01854 Phone: 978-452-9700 Fax: 978-441-6075 |
Kelly Surabian, Physician Assistant Medicare: Medicare Enrolled Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-937-6000 |
Ms. Erin A Desmond, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 275 Varnum Ave Suite 102, Lowell, MA 01854 Phone: 978-942-2610 Fax: 978-942-2616 |
Miss Michelle Mukasa, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-937-6439 |
Julieann Duong, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-937-6000 |
Ms. Alena Fatima Jaffri, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 165 Thorndike St Fl 4, Lowell, MA 01852 Phone: 978-955-9500 |
Rebecca Rideout, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-937-6000 |