Convenientmd Llc | |
999 Dalton Ave Pittsfield MA 01201-2903 | |
(413) 242-6577 | |
Not Available |
Full Name | Convenientmd Llc |
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Speciality | Clinic/Center |
Location | 999 Dalton Ave, Pittsfield, Massachusetts |
Authorized Official Name and Position | Jarod Boissonneault (VP, REVENUE CYCLE MGT) |
Authorized Official Contact | 6033196223 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Convenientmd Llc 111 Nh Ave Portsmouth NH 03801-2864 Ph: (603) 410-6700 | Convenientmd Llc 999 Dalton Ave Pittsfield MA 01201-2903 Ph: (413) 242-6577 |
NPI Number | 1982301289 |
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Provider Enumeration Date | 02/08/2023 |
Last Update Date | 02/08/2023 |
Medicare PECOS PAC ID | 2062667033 |
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Medicare Enrollment ID | O20181115000859 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982301289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Kim D Ariyabuddhiphongs |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114950821 PECOS PAC ID: 3678577699 Enrollment ID: I20060906000326 |
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