| Kablotsky Internal Medicine PLLC | |
|
1 Cabot Rd Ste 101 Hudson MA 01749-2963 | |
| (978) 562-3536 | |
| (978) 562-4626 |
| Full Name | Kablotsky Internal Medicine PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Cabot Rd Ste 101, Hudson, Massachusetts |
| Authorized Official Name and Position | Christian L Potter-kablotsky (MANAGER) |
| Authorized Official Contact | 5083531660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kablotsky Internal Medicine PLLC 1 Cabot Rd Ste 101 Hudson MA 01749-2963 Ph: (978) 562-3536 | Kablotsky Internal Medicine PLLC 1 Cabot Rd Ste 101 Hudson MA 01749-2963 Ph: (978) 562-3536 |
| NPI Number | 1841096815 |
|---|---|
| Provider Enumeration Date | 02/20/2025 |
| Last Update Date | 02/20/2025 |
| Certification Date | 02/20/2025 |
| Medicare PECOS PAC ID | 8123543881 |
|---|---|
| Medicare Enrollment ID | O20250416000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841096815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Richard C Mcmahon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114949823 PECOS PAC ID: 2567418387 Enrollment ID: I20050324000776 |
| Provider Name | Elizabeth a D'alesio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376657387 PECOS PAC ID: 6406860253 Enrollment ID: I20060131000733 |
| Provider Name | Christian Potter-kablotsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912967613 PECOS PAC ID: 4082745898 Enrollment ID: I20100623000140 |
| Provider Name | Nancy Gail Golder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902133028 PECOS PAC ID: 5193909141 Enrollment ID: I20110415000233 |
| Provider Name | Jennifer L Cabral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922376912 PECOS PAC ID: 8123287661 Enrollment ID: I20120302000077 |
| Provider Name | Julie Gilman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346636123 PECOS PAC ID: 1153633144 Enrollment ID: I20150706000580 |
| Provider Name | Danielle Ann Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053799627 PECOS PAC ID: 7113276601 Enrollment ID: I20180816000913 |
| Provider Name | Faith a Felitto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265931331 PECOS PAC ID: 4385978600 Enrollment ID: I20190620000584 |
| Provider Name | Kanwon Shaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477170546 PECOS PAC ID: 3870904394 Enrollment ID: I20230928001671 |
| Provider Name | Andrew G Petlock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972381077 PECOS PAC ID: 3870025208 Enrollment ID: I20241010001126 |
Sage Health Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Coolidge St, Hudson, MA 01749 Phone: 978-562-3536 Fax: 720-293-5877 |
Integrated Childrens Therapies Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Coolidge St, Hudson, MA 01749 Phone: 978-568-8800 Fax: 978-568-8877 |