Enhanced Medical Care, Llc is a medicare enrolled primary clinic (Internal Medicine) in Waban, Massachusetts. The current practice location for Enhanced Medical Care, Llc is 361 Woodward St, Waban, Massachusetts. For appointments, you can reach them via phone at
(617) 777-4080. The mailing address for Enhanced Medical Care, Llc is 361 Woodward St, Waban, Massachusetts and phone number is (617) 777-4080.
Enhanced Medical Care, Llc is licensed to practice in Massachusetts (license number 54772). The clinic also participates in the medicare program and its
NPI number is 1952525867. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(617) 777-4080.
Primary Care Clinic Profile
| Full Name | Enhanced Medical Care, Llc |
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| Speciality | Internal Medicine |
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| Location | 361 Woodward St, Waban, Massachusetts |
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| Authorized Official Name and Position | Mark Edward Costa (PARTNER) |
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| Authorized Official Contact | 6177774080 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Enhanced Medical Care, Llc
361 Woodward St
Waban
MA 02468-2027
Ph: (617) 777-4080 | Enhanced Medical Care, Llc
361 Woodward St
Waban
MA 02468-2027
Ph: (617) 777-4080 |
NPI Details:
| NPI Number | 1952525867 |
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| Provider Enumeration Date | 04/12/2007 |
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| Last Update Date | 08/22/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0840379285 |
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| Medicare Enrollment ID | O20080509000337 |
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Medical Identifiers
Medical identifiers for Enhanced Medical Care, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952525867 | NPI | - | NPPES |
| 3131874 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 54772 (Massachusetts) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Enhanced Medical Care, Llc acts as a billing entity for following providers:
| Provider Name | Mark E Costa |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1912997420
PECOS PAC ID: 0042297319
Enrollment ID: I20040706000117 |
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