| Nova Medical Group Pc | |
|
401 N Bedford St East Bridgewater MA 02333-1147 | |
| (781) 527-5310 | |
| Not Available |
| Full Name | Nova Medical Group Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 401 N Bedford St, East Bridgewater, Massachusetts |
| Authorized Official Name and Position | Akash D Patel (PRESIDENT) |
| Authorized Official Contact | 9195009326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Medical Group Pc 401 N Bedford St East Bridgewater MA 02333-1147 Ph: (781) 527-5310 | Nova Medical Group Pc 401 N Bedford St East Bridgewater MA 02333-1147 Ph: (781) 527-5310 |
| NPI Number | 1235991332 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 08/28/2024 |
| Medicare PECOS PAC ID | 9133661580 |
|---|---|
| Medicare Enrollment ID | O20240613000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235991332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | (* (Not Available)) | Secondary |
| Provider Name | Kevin Broderick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013954759 PECOS PAC ID: 1153363155 Enrollment ID: I20050601000130 |
| Provider Name | Bryan Suchecki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184686933 PECOS PAC ID: 7416119540 Enrollment ID: I20120611000500 |
| Provider Name | Akash D Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609032580 PECOS PAC ID: 9537212964 Enrollment ID: I20130826000694 |
| Provider Name | Kyle D Hirschman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801175401 PECOS PAC ID: 2466686126 Enrollment ID: I20150929000393 |
| Provider Name | Mohammed Quraishi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871545269 PECOS PAC ID: 8123030814 Enrollment ID: I20160414002182 |
| Provider Name | Jonathan Jaksha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871555649 PECOS PAC ID: 3274632054 Enrollment ID: I20161108001557 |
| Provider Name | Jason E Grennan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457313314 PECOS PAC ID: 9830179092 Enrollment ID: I20161215001584 |
| Provider Name | Theresa E Franey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851937932 PECOS PAC ID: 7113353244 Enrollment ID: I20200207001009 |
| Provider Name | Shannon L St Clair |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881030997 PECOS PAC ID: 3678714268 Enrollment ID: I20200402003686 |
| Provider Name | Shawn Timothy Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891040689 PECOS PAC ID: 6103103569 Enrollment ID: I20201108000015 |
| Provider Name | Fang Yu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811159296 PECOS PAC ID: 9830214154 Enrollment ID: I20210412002111 |
| Provider Name | Karen Phillips |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801992813 PECOS PAC ID: 8729024161 Enrollment ID: I20210825002946 |
| Provider Name | Callie M Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053908020 PECOS PAC ID: 9537554142 Enrollment ID: I20220317002157 |
| Provider Name | Samantha Shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003539156 PECOS PAC ID: 9335519313 Enrollment ID: I20230109001820 |
| Provider Name | Melissa Galligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356054662 PECOS PAC ID: 6800268731 Enrollment ID: I20230202001011 |
| Provider Name | Kimia Khalatbari Kani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700028131 PECOS PAC ID: 5991856098 Enrollment ID: I20240612000982 |
| Provider Name | Oded Greenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003892928 PECOS PAC ID: 0840341533 Enrollment ID: I20240904004084 |
| Provider Name | David Alexis Bulley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912950635 PECOS PAC ID: 2961480306 Enrollment ID: I20240919000111 |
| Provider Name | Veronica Y Ruvo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740252725 PECOS PAC ID: 4183523855 Enrollment ID: I20240926001529 |
| Provider Name | Meaghan K Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669206173 PECOS PAC ID: 4688107121 Enrollment ID: I20241023001161 |
Compass Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 362 N Bedford St, East Bridgewater, MA 02333 Phone: 508-350-2350 Fax: 508-350-2318 |