| G&t Healthcare, Llc | |
|
1199 John Fitch Hwy Fitchburg MA 01420-2026 | |
| (617) 899-5017 | |
| Not Available |
| Full Name | G&t Healthcare, Llc |
|---|---|
| Speciality | Hospitalist |
| Location | 1199 John Fitch Hwy, Fitchburg, Massachusetts |
| Authorized Official Name and Position | Richard Peisch (ADMINISTRATOR) |
| Authorized Official Contact | 6178995017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G&t Healthcare, Llc 1199 John Fitch Hwy Fitchburg MA 01420-2026 Ph: (617) 899-5017 | G&t Healthcare, Llc 1199 John Fitch Hwy Fitchburg MA 01420-2026 Ph: (617) 899-5017 |
| NPI Number | 1912620170 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 09/22/2022 |
| Medicare PECOS PAC ID | 4284002817 |
|---|---|
| Medicare Enrollment ID | O20221201001641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912620170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Tiffany Lynne Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083028716 PECOS PAC ID: 0941428742 Enrollment ID: I20150918000444 |
| Provider Name | Gueorgui D Dimov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659488757 PECOS PAC ID: 5698868982 Enrollment ID: I20160504000722 |
| Provider Name | Chauntelle C Carty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437821899 PECOS PAC ID: 6002284635 Enrollment ID: I20221221000883 |
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