| Eaton Medical Associates Pllc | |
|
87 Jackson St Methuen MA 01844-5044 | |
| (978) 208-4756 | |
| (978) 685-5950 |
| Full Name | Eaton Medical Associates Pllc |
|---|---|
| Speciality | General Practice |
| Location | 87 Jackson St, Methuen, Massachusetts |
| Authorized Official Name and Position | Anthony Gibran Eaton (OWNER) |
| Authorized Official Contact | 9789732740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eaton Medical Associates Pllc 87 Jackson St Methuen MA 01844-5044 Ph: (978) 208-4756 | Eaton Medical Associates Pllc 87 Jackson St Methuen MA 01844-5044 Ph: (978) 208-4756 |
| NPI Number | 1699914325 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 04/29/2016 |
| Medicare PECOS PAC ID | 0446301998 |
|---|---|
| Medicare Enrollment ID | O20090626000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699914325 | NPI | - | NPPES |
| AA13929 | Other | MA | HARVARD PILGRIM HEALTHCARE |
| J27682 | Other | MA | BLUE CROSS BLUE SHIELD |
| 2061546 | Medicaid | MA | |
| 469196 | Other | MA | TUFTS HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Anthony Gibran Eaton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831193101 PECOS PAC ID: 9931187101 Enrollment ID: I20040713000865 |
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