| Mill City Medical Group Ltd | |
|
45 Palmer Street Lowell MA 01852 | |
| (978) 970-1607 | |
| (978) 970-1115 |
| Full Name | Mill City Medical Group Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 45 Palmer Street, Lowell, Massachusetts |
| Authorized Official Name and Position | David C Pickul (PRESIDENT) |
| Authorized Official Contact | 9789701607 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mill City Medical Group Ltd 45 Palmer Street Lowell MA 01852 Ph: (978) 970-1607 | Mill City Medical Group Ltd 45 Palmer Street Lowell MA 01852 Ph: (978) 970-1607 |
| NPI Number | 1053346692 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3577507797 |
|---|---|
| Medicare Enrollment ID | O20050617000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053346692 | NPI | - | NPPES |
| 9719628 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mariana Z.a. Chemaly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811183056 PECOS PAC ID: 3779642186 Enrollment ID: I20081030000028 |
| Provider Name | Matthew D Savory |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861418964 PECOS PAC ID: 0042336141 Enrollment ID: I20100927000606 |
| Provider Name | Pauline Tsirigotis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760417331 PECOS PAC ID: 1052437902 Enrollment ID: I20100928001172 |
| Provider Name | Jessica M Ames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306147863 PECOS PAC ID: 6103003728 Enrollment ID: I20110608000575 |
| Provider Name | Riad Ettunsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073828893 PECOS PAC ID: 4688805906 Enrollment ID: I20140328001457 |
| Provider Name | Bethany A Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518348218 PECOS PAC ID: 6507176914 Enrollment ID: I20151113000887 |
| Provider Name | Sarim P Poirier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285133470 PECOS PAC ID: 7113263476 Enrollment ID: I20190108003076 |
| Provider Name | Tatiana Arilha Thom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629205828 PECOS PAC ID: 5799940979 Enrollment ID: I20190625001075 |
| Provider Name | Mary Frances Traynor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881254985 PECOS PAC ID: 5890127906 Enrollment ID: I20191111002956 |
| Provider Name | Sarah Hannah Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780209890 PECOS PAC ID: 6800206509 Enrollment ID: I20201109002520 |
| Provider Name | Laura Anne Meehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891496386 PECOS PAC ID: 2466800271 Enrollment ID: I20231204002636 |
| Provider Name | Katelyn Maria Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346948379 PECOS PAC ID: 4183063563 Enrollment ID: I20240418000285 |
| Provider Name | Elizandra Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699529123 PECOS PAC ID: 7214469972 Enrollment ID: I20250218001707 |
| Provider Name | Hailey Ann Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548082159 PECOS PAC ID: 3072037860 Enrollment ID: I20250414003086 |
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 | |
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 |