| Dr Michael Hercules Theodoulou, DPM | |
|
230 Highland Ave, Somerville, MA 02143-1408 | |
| (617) 665-1000 | |
| Not Available |
| Full Name | Dr Michael Hercules Theodoulou |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 36 Years |
| Location | 230 Highland Ave, 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 |
|---|---|---|---|
| 1760430755 | NPI | - | NPPES |
| 110084502A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | PO558 (District Of Columbia) | Secondary |
| 213E00000X | Podiatrist | 01073 (Maryland) | Secondary |
| 213E00000X | Podiatrist | 2358 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cambridge Health Alliance | Cambridge, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cambridge Public Health Commission | 8921910894 | 588 |
| Provider Name | Cambridge Public Health Commission |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932313228 PECOS PAC ID: 8921910894 Enrollment ID: O20050808000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Hercules Theodoulou, DPM 230 Highland Ave, Somerville, MA 02143-1408 Ph: (617) 665-1000 | Dr Michael Hercules Theodoulou, DPM 230 Highland Ave, Somerville, MA 02143-1408 Ph: (617) 665-1000 |
Dr. Pasquale Cancelliere, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 53 Main St, Somerville, MA 02145 Phone: 617-629-2806 | |
Dr. Jill Francine Ashcraft, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6220 Fax: 617-629-6248 | |
Dr. Chih Kang David Liou, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10 Beacon St, Somerville, MA 02143 Phone: 503-515-9575 | |
Brian D Tedesco, D.P.M. Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 53 Main St, Somerville, MA 02145 Phone: 617-629-2304 | |
Candria Consulting And Holdings Inc, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 53 Main St, Somerville, MA 02145 Phone: 617-629-2806 | |
Dr. Charles William Connolly, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 120 College Ave, Somerville, MA 02144 Phone: 617-776-2500 Fax: 617-776-3850 |