| My Provider on Demand, PC | |
|
266 N Main St Unit 8 Mansfield MA 02048-3331 | |
| (781) 354-4141 | |
| Not Available |
| Full Name | My Provider on Demand, PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 266 N Main St Unit 8, Mansfield, Massachusetts |
| Authorized Official Name and Position | Ana Aroshidze Saad (PRESIDENT) |
| Authorized Official Contact | 7813544141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Provider on Demand, PC 266 N Main St Unit 8 Mansfield MA 02048-3331 Ph: (781) 354-4141 | My Provider on Demand, PC 266 N Main St Unit 8 Mansfield MA 02048-3331 Ph: (781) 354-4141 |
| NPI Number | 1336021328 |
|---|---|
| Provider Enumeration Date | 07/22/2025 |
| Last Update Date | 07/22/2025 |
| Certification Date | 07/22/2025 |
| Medicare PECOS PAC ID | 7113420514 |
|---|---|
| Medicare Enrollment ID | O20250911003423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336021328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | Ana Aroshidze Saad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861063513 PECOS PAC ID: 2163899105 Enrollment ID: I20221104001002 |
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