| Metromedic Walk In | |
|
1155 Purchase St New Bedford MA 02740 | |
| (508) 997-2900 | |
| (508) 991-4432 |
| Full Name | Metromedic Walk In |
|---|---|
| Speciality | Family Medicine |
| Location | 1155 Purchase St, New Bedford, Massachusetts |
| Authorized Official Name and Position | Tushar C Patel (OWNER) |
| Authorized Official Contact | 5089972900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metromedic Walk In 429 Plymouth Ave Fall River MA 02721 Ph: (508) 679-0010 | Metromedic Walk In 1155 Purchase St New Bedford MA 02740 Ph: (508) 997-2900 |
| NPI Number | 1497829253 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 05/04/2015 |
| Medicare PECOS PAC ID | 7517947377 |
|---|---|
| Medicare Enrollment ID | O20040722000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497829253 | NPI | - | NPPES |
| 274212 | Other | RI | BLUE SHIELD |
| 9710442 | Medicaid | MA | |
| M17940 | Other | MA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Tushar C Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861566606 PECOS PAC ID: 3678553435 Enrollment ID: I20050209000884 |
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