| Ent Specialists, Inc | |
|
35 Pearl St Ste 100, Brockton, MA 02301-1195 | |
| (508) 588-8034 | |
| (508) 588-5969 |
| Full Name | Ent Specialists, Inc |
|---|---|
| Type | Facility |
| Speciality | Otolaryngology |
| Location | 35 Pearl St Ste 100, Brockton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548319809 | NPI | - | NPPES |
| 9700226 | Medicaid | MA | |
| M10815 | Other | MA | BCBS OF MA -GRP ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Primary |
| Provider Name | Kristina J Roberts |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922189737 PECOS PAC ID: 5496705535 Enrollment ID: I20061202000128 |
| Provider Name | Colleen Vasques |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1013033687 PECOS PAC ID: 8921166406 Enrollment ID: I20081028000406 |
| Provider Name | Nancy S Weihrauch |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629197413 PECOS PAC ID: 5799843272 Enrollment ID: I20081028000462 |
| Provider Name | Deborah Cohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982832671 PECOS PAC ID: 5799821195 Enrollment ID: I20091014000663 |
| Provider Name | Dionne H Russell Pasciscia |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861628166 PECOS PAC ID: 7719024090 Enrollment ID: I20091019000223 |
| Provider Name | Jagdish K Dhingra |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275557738 PECOS PAC ID: 2860578655 Enrollment ID: I20091216000618 |
| Provider Name | Pratik S Pradhan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881652832 PECOS PAC ID: 0143306936 Enrollment ID: I20110601000872 |
| Provider Name | Russell S Shu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134134422 PECOS PAC ID: 6406932292 Enrollment ID: I20110606000500 |
| Provider Name | Seema V Byahatti |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972518264 PECOS PAC ID: 2961588751 Enrollment ID: I20110606000522 |
| Provider Name | Pauline Tanzman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003104795 PECOS PAC ID: 9436320835 Enrollment ID: I20110915000125 |
| Provider Name | Erik V Berg |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235395500 PECOS PAC ID: 0446416077 Enrollment ID: I20120725000536 |
| Provider Name | Patricia Swift Fulton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396082988 PECOS PAC ID: 3971757147 Enrollment ID: I20130218000284 |
| Provider Name | David S Robinson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639583016 PECOS PAC ID: 3173744547 Enrollment ID: I20141028002319 |
| Provider Name | Walid Ibrahim Dagher |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225219173 PECOS PAC ID: 6406161751 Enrollment ID: I20150814013498 |
| Provider Name | Diana Russell Murphy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1699175307 PECOS PAC ID: 7113149402 Enrollment ID: I20151102002487 |
| Provider Name | Kimberly Ann Russell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326305905 PECOS PAC ID: 2365714714 Enrollment ID: I20170919004006 |
| Provider Name | Kathleen Aspinall |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588791982 PECOS PAC ID: 8628148962 Enrollment ID: I20180507001085 |
| Provider Name | Ameer Trilok Shah |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538507512 PECOS PAC ID: 6709185390 Enrollment ID: I20180508001122 |
| Provider Name | Bridget Elizabeth Kosilla |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790343820 PECOS PAC ID: 5092042010 Enrollment ID: I20190813002489 |
| Provider Name | Katherine Richman Salkin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811051295 PECOS PAC ID: 3779968797 Enrollment ID: I20220912002707 |
| Mailing Address | Practice Location Address |
|---|---|
| Ent Specialists, Inc 35 Pearl St Ste 100, Brockton, MA 02301-1195 Ph: (508) 588-8034 | Ent Specialists, Inc 35 Pearl St Ste 100, Brockton, MA 02301-1195 Ph: (508) 588-8034 |