| Geriatric Internal Medicine Specialists, Llc | |
|
2 Kirkat Way North Dartmouth MA 02747-3860 | |
| (508) 858-9197 | |
| Not Available |
| Full Name | Geriatric Internal Medicine Specialists, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Kirkat Way, North Dartmouth, Massachusetts |
| Authorized Official Name and Position | Lois Cutter (BILLING/INSURANCE MANAGER) |
| Authorized Official Contact | 5088589197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Internal Medicine Specialists, Llc Po Box 79140 North Dartmouth MA 02747-0991 Ph: () - | Geriatric Internal Medicine Specialists, Llc 2 Kirkat Way North Dartmouth MA 02747-3860 Ph: (508) 858-9197 |
| NPI Number | 1437454287 |
|---|---|
| Provider Enumeration Date | 01/25/2011 |
| Last Update Date | 01/25/2011 |
| Medicare PECOS PAC ID | 0244414670 |
|---|---|
| Medicare Enrollment ID | O20110411000039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437454287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 210494 (Massachusetts) | Primary |
| Provider Name | Efrain Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003859265 PECOS PAC ID: 8628171519 Enrollment ID: I20070811000039 |
| Provider Name | Rachel E Resendes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760765499 PECOS PAC ID: 9032375381 Enrollment ID: I20120731000786 |
| Provider Name | Pebbles L Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407107022 PECOS PAC ID: 7911152251 Enrollment ID: I20130312000471 |
| Provider Name | Crystal E Mendonsa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871043729 PECOS PAC ID: 4880973916 Enrollment ID: I20161114001511 |
| Provider Name | Eliana Decastro Cuellar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457966806 PECOS PAC ID: 0840602744 Enrollment ID: I20201217002589 |
| Provider Name | Orobosa Osawonuyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922691880 PECOS PAC ID: 1153738844 Enrollment ID: I20210324002860 |
| Provider Name | Amanda Lee Assaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235474339 PECOS PAC ID: 9739580184 Enrollment ID: I20210623002379 |
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