| Lgh Professional Services Llc | |
|
295 Varnum Ave Lowell MA 01854-2134 | |
| (978) 937-6000 | |
| Not Available |
| Full Name | Lgh Professional Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 295 Varnum Ave, Lowell, Massachusetts |
| Authorized Official Name and Position | William F Wyman (VICE PRESIDENT) |
| Authorized Official Contact | 9789376034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lgh Professional Services Llc 295 Varnum Ave Lowell MA 01854-2134 Ph: (978) 937-6000 | Lgh Professional Services Llc 295 Varnum Ave Lowell MA 01854-2134 Ph: (978) 937-6000 |
| NPI Number | 1417485541 |
|---|---|
| Provider Enumeration Date | 06/02/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8921364159 |
|---|---|
| Medicare Enrollment ID | O20171103002152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417485541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Robin M Tompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184791246 PECOS PAC ID: 8022098870 Enrollment ID: I20040722000306 |
| Provider Name | Susan A Jamieson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245306448 PECOS PAC ID: 8426078940 Enrollment ID: I20051129000960 |
| Provider Name | Jayme Rose Cerullo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689711871 PECOS PAC ID: 8628143468 Enrollment ID: I20080813000797 |
| Provider Name | Teresa Gore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013243138 PECOS PAC ID: 7618018607 Enrollment ID: I20100113000502 |
| Provider Name | Louis Bresnick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205861390 PECOS PAC ID: 4183600869 Enrollment ID: I20120112000015 |
| Provider Name | Michael G Bertos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043245145 PECOS PAC ID: 5799855128 Enrollment ID: I20120112000019 |
| Provider Name | Caitlin G Waters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841600178 PECOS PAC ID: 1153548516 Enrollment ID: I20181219002796 |
| Provider Name | Guovana Aboukhater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780347252 PECOS PAC ID: 8123406774 Enrollment ID: I20220609002607 |
| Provider Name | Ronald Wilson Makarutsa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871147264 PECOS PAC ID: 8022483973 Enrollment ID: I20230407000829 |
| Provider Name | Kayla Cantres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265212476 PECOS PAC ID: 9739532896 Enrollment ID: I20240125001938 |
| Provider Name | Brianna Baptista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326871260 PECOS PAC ID: 2264968247 Enrollment ID: I20241213002516 |
Golden Years Geriatric Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11 Cascade Ave, Lowell, MA 01851 Phone: 978-987-1170 | |
Igc Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Wellman St Ste 41, Lowell, MA 01851 Phone: 978-459-6737 | |
Igc Iii Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41 Wellman St Ste 400, Lowell, MA 01851 Phone: 978-459-6737 Fax: 855-818-1869 | |
Mill City Medical Group Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 45 Palmer Street, Lowell, MA 01852 Phone: 978-970-1607 Fax: 978-970-1115 | |
Rite Aid Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Church St, Lowell, MA 01852 Phone: 978-937-0030 | |
Peter S. Bradshaw M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 E Merrimack St, Suite 15, Lowell, MA 01852 Phone: 978-459-3341 Fax: 978-459-5344 | |
Lgh Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-788-7218 Fax: 978-937-6850 |