| Chelmsford Primary Care, Llc | |
|
2 Meeting House Rd Chelmsford MA 01824-2700 | |
| (978) 256-5522 | |
| (978) 256-5399 |
| Full Name | Chelmsford Primary Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Meeting House Rd, Chelmsford, Massachusetts |
| Authorized Official Name and Position | Frederick W Wikander (MANAGING PARTNER) |
| Authorized Official Contact | 9782565522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chelmsford Primary Care, Llc 2 Meeting House Rd Chelmsford MA 01824-2700 Ph: (978) 256-5522 | Chelmsford Primary Care, Llc 2 Meeting House Rd Chelmsford MA 01824-2700 Ph: (978) 256-5522 |
| NPI Number | 1588706279 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5597704031 |
|---|---|
| Medicare Enrollment ID | O20050426000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588706279 | NPI | - | NPPES |
| 51761 | Other | MA | FALLON GROUP NUMBER |
| 689682 | Other | MA | TUFTS GROUP NUMBER |
| 44959 | Other | MA | NETWORK HEALTH GROUP NUMB |
| 9707930 | Medicaid | MA | |
| CH6549 | Other | MA | MEDICARE RR NUMBER |
| M17730 | Other | MA | BLUE CROSS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Massachusetts) | Primary |
| Provider Name | Roopa M Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871576397 PECOS PAC ID: 9830138189 Enrollment ID: I20050427000355 |
| Provider Name | Jorge E Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821081209 PECOS PAC ID: 9335102466 Enrollment ID: I20110803000324 |
| Provider Name | Mei Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164799599 PECOS PAC ID: 5496079907 Enrollment ID: I20150109001388 |
| Provider Name | Breana Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740678358 PECOS PAC ID: 7113228966 Enrollment ID: I20151221000692 |
| Provider Name | Erin Cebular |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104456359 PECOS PAC ID: 6305267949 Enrollment ID: I20220412001129 |
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Digestive Health Specialists, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4 Meeting House Road, Suite 6-8, Chelmsford, MA 01824 Phone: 978-454-9811 Fax: 978-937-9281 | |
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