| Mercy Family Practice Pc | |
|
250 Green St Suite 200 Gardner MA 01440-1396 | |
| (978) 632-6445 | |
| (978) 630-3603 |
| Full Name | Mercy Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 250 Green St, Gardner, Massachusetts |
| Authorized Official Name and Position | Rebecca Worden (CFO) |
| Authorized Official Contact | 9786326445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Family Practice Pc 250 Green St Gardner MA 01440-1396 Ph: (978) 632-6445 | Mercy Family Practice Pc 250 Green St Suite 200 Gardner MA 01440-1396 Ph: (978) 632-6445 |
| NPI Number | 1295717106 |
|---|---|
| Provider Enumeration Date | 11/16/2005 |
| Last Update Date | 01/29/2013 |
| Medicare PECOS PAC ID | 4981684420 |
|---|---|
| Medicare Enrollment ID | O20040723000874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295717106 | NPI | - | NPPES |
| 9732250 | Medicaid | MA | |
| 110069347-A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rebecca M Worden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659352706 PECOS PAC ID: 3577549385 Enrollment ID: I20040726000853 |
| Provider Name | John L Worden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326020223 PECOS PAC ID: 9638168974 Enrollment ID: I20040727000860 |
| Provider Name | Aimee Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265802342 PECOS PAC ID: 7911205844 Enrollment ID: I20160411000404 |
Gardner Family Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 57 City Hall Ave, Gardner, MA 01440 Phone: 978-630-3862 Fax: 978-630-4176 | |
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